A Critical Appraisal of Nephrometry in Robot-Assisted Partial Nephrectomy: Why the RPN Score Outperforms R.E.N.A.L. and PADUA in the Robotic Era
Current evidence does not support the continued use of R.E.N.A.L. and PADUA scores as validated tools in RAPN. The RPN score, with its statistically validated, anatomy-based methodology and alignment with surgical difficulty, represents a scientifically superior and clinically practical alternative for standardizing tumor complexity in RAPN.
Authors
- Peitong Li (ORCID: https://orcid.org/0000-0002-3106-7051)
- Niall M. Corcoran
- Nathan Lawrentschuk
- Dinesh K. Agarwal
Institutions
- The Royal Melbourne Hospital (AU)
- The University of Melbourne (AU)
- Mercy Hospital for Women (AU)
- Victorian Comprehensive Cancer Centre (AU)
- Western Health (AU)
Publication Details
- Journal
- Journal of Endourology
- Published
- 2026-02-16
- DOI
- https://doi.org/10.1177/08927790261422977
- Primary Topic
- Renal cell carcinoma treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00