The purpose of this study was to evaluate laparoscopic partial nephrectomy (LPN) and robot-assisted partial nephrectomy (RAPN) done in two European tertiary centres using the traditional optimum surgical definition — “MIC” — and a new optimal surgical definition: the “Novel TRIFECTA” (NT) concept. Researchers wanted to enhance the PN evidence and put the NT to the test. Between 2012 and 2019, 505 instances of localised kidney cancer were diagnosed at two tertiary institutions. The NT accomplishment was higher in the RAPN group than in the LPN group, but no differences were detected when the MIC criteria were included. There was also a similar rate of high-grade complications and operating time. The RAPN method was a predictor of NT accomplishment in the multivariable regression.The RAPN group had higher NT accomplishment, whereas the MIC criterion had similar findings. The NT definition may be more responsive to the PN-specific reactions of individuals.
Reference: https://link.springer.com/article/10.1007/s11934-021-01053-x