Renal functional and surgical outcomes after robot-assisted partial nephrectomy for hilar vs non-hilar tumors: Trifecta and pentafecta evaluation

doi:10.5527/wjn.119576

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World Journal of Nephrology

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2220-6124

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Retrospective Cohort Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Nephrol. Sep 25, 2026; 15(3): 119576
Published online Sep 25, 2026. doi: 10.5527/wjn.119576

Table 3 Univariate and multivariate analysis of factors predicting pentafecta achievement

	Univariate analysis			Multivariate analysis
	OR	95%CI	P value	OR	95%CI	P value
Age ≥ 66	0.886	0.482-1.63	0.697
Male	0.534	0.285-1.00	0.051
BMI ≥ 24	0.560	0.301-1.04	0.067
ECOG-PS ≥ 1	1.07	0.448-2.56	0.876
Diabetes mellitus	0.589	0.273-1.270	0.178
Hypertension	0.657	0.351-1.230	0.190
Preoperative CKD stage ≥ 3	0.864	0.442-1.690	0.670
Surgeon’s experience ≥ 20 cases	2.5	1.160-5.37	0.019^a	3.73	1.64-8.49	0.002^b
R score ≥ 2	0.328	0.135-0.802	0.015^a	0.319	0.125-0.810	0.016^a
E score ≥ 3	0.490	0.199-1.2	0.120
N score ≥ 3	0.455	0.243-0.853	0.014^a	0.449	0.224-0.898	0.024^a
L score ≥ 3	0.438	0.219-0.876	0.020^a	0.306	0.138-0.681	0.004^b
Intra approach	1.50	0.814-2.770	0.194
Hilar tumor	0.652	0.317-1.34	0.245	2.61	1.12-6.08	0.026
RENAL score ≥ 10	0.0915	0.0123-0.678	0.019^a

^aP < 0.05.

^bP < 0.01.

OR: Odds ratio; CI: Confidence interval; BMI: Body mass index; ECOG-PS: Eastern Cooperative Oncology Group Performance Status; CKD: Chronic kidney disease.

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Citation: Hara T, Suzuki K, Wakita N, Okamura Y, Ueki H, Bando Y, Terakawa T, Hyodo Y, Chiba K, Teishima J, Yao A, Miyake H. Renal functional and surgical outcomes after robot-assisted partial nephrectomy for hilar vs non-hilar tumors: Trifecta and pentafecta evaluation. World J Nephrol 2026; 15(3): 119576
URL: https://www.wjgnet.com/2220-6124/full/v15/i3/119576.htm
DOI: https://dx.doi.org/10.5527/wjn.119576

Hara T, Suzuki K, Wakita N, Okamura Y, Ueki H, Bando Y, Terakawa T, Hyodo Y, Chiba K, Teishima J, Yao A, Miyake H. Renal functional and surgical outcomes after robot-assisted partial nephrectomy for hilar vs non-hilar tumors: Trifecta and pentafecta evaluation. World J Nephrol 2026; 15(3): 119576 [DOI: 10.5527/wjn.119576]

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