Ricerc@Sapienza

Management of high complexity renal masses is always challenging for urologists. Beksac and co-workers made a great effort in collecting data from 144 patients with complex renal masses defined as a RENAL score higher than 10 undergoing robotic partial nephrectomy (RPN). Trifecta was achieved in 62% of the patients. The multi-center design of the study is an important feature considering that 6 surgeons were involved. The study is retrospective and follow up is short therefore data should be managed with caution.

Interplay between patient‐ and surgery‐related factors determines the functional recovery after partial nephrectomy (PN) 1. Ischaemic injury resulting from renal arterial clamping has historically been one of the major modifiable surgical factors responsible for the functional decline after PN. As such, several techniques for minimising or even eliminating hilar clamping have been described 2.