| Overall (n = 444) | LNSS (n = 211) | ONSS (n = 233) | p-value |
---|---|---|---|---|
a Epidemiological characteristics | ||||
 Age years | 63 (54–68) | 63 (53–68) | 63 (55–68) | 0.99 |
 Sex m/f (%) | 331 / 113 (74.5 / 25.5) | 165 / 46 (78.2 / 21.8) | 166 / 67 (71.2 / 28.8) | 0.09 |
 BMI (kg/m2) | 26.9 (24.7–29.6) | 27.1 (25.1–29.7) | 26.8 (24.3–29.6) | 0.21 |
 Charlson comorbidity score | 2 (0–2) | 2 (0–2) | 2 (0–2) | 0.74 |
 eGFR mL/min/1.73 m2 a | 80.0 (65.1–93.1) | 82.0 (69.9–94.9) | 76.9 (61.5–91.1) | 0.004 |
 Serum creatinine mg/dL | 0.97 (0.83–1.14) | 0.93 (0.82–1.08) | 1.0 (0.85–1.2) | 0.03 |
 eGFR category b (%) |  |  |  | 0.04 |
  G1 | 134 (30.2) | 70 (33.2) | 64 (27.5) | 0.22 |
  G2 | 223 (50.2) | 111 (52.6) | 112 (48.1) | 0.41 |
  G3 | 73 (16.4) | 24 (11.4) | 49 (21.0) | 0.005 |
  G4 | 9 (2.0) | 5 (2.4) | 4 (1.7) | 0.90 |
  G5 | 0 (0.0) | 0 (0.0) | 0 (0.0) | – |
  No data | 5 (1.1) | 1 (0.4) | 4 (1.7) | 0.22 |
 Haemoglobin g/dL | 14.5 (13.6–15.4) | 14.7 (13.8–15.5) | 14.4 (13.5–15.3) | 0.02 |
 Blood pressure categories c (%) |  |  |  | 0.92 |
  Optimal blood pressure | 36 (8.1) | 16 (7.6) | 20 (8.6) |  |
  Normal blood pressure | 84 (18.9) | 30 (14.2) | 54 (23.2) |  |
  High-normal blood pressure | 75 (16.9) | 32 (15.2) | 43 (18.5) |  |
  Grade 1 hypertension [mild] | 132 (29.7) | 60 (28.4) | 72 (30.9) |  |
  Grade 2 hypertension [moderate] | 50 (11.3) | 16 (7.6) | 34 (14.6) |  |
  Grade 3 hypertension [severe] | 10 (2.3) | 5 (2.4) | 5 (2.1) |  |
  No data | 57 (12.8) | 52 (24.6) | 5 (2.1) |  |
b Tumour characteristics | ||||
 RCC subtype (%) |  |  |  | 0.53 |
  Clear cell | 303 (68.2) | 141 (66.8) | 162 (69.5) |  |
  Papillary | 94 (21.2) | 52 (24.6) | 42 (18.0) |  |
  Chromophobic | 34 (7.7) | 14 (6.6) | 20 (8.6) |  |
  Others d | 5 (1.1) | 2 (0.9) | 3 (1.3) |  |
  No data | 8 (1.8) | 2 (0.9) | 6 (2.6) |  |
 TNM (7th edition UICC 2010) staging (%) |  |  |  | <  0.001 |
  T1a | 315 (70.9) | 170 (80.6) | 145 (62.2) | <  0.001 |
  T1b | 83 (18.7) | 29 (13.7) | 54 (23.2) | 0.008 |
  T2a | 10 (2.3) | 1 (0.5) | 9 (3.9) | 0.02 |
  T2b | 3 (0.7) | 0 (0.0) | 3 (1.3) | 0.10 |
  T3a | 22 (5.0) | 8 (3.8) | 14 (6.0) | 0.26 |
  T3b | 1 (0.2) | 0 (0.0) | 1 (0.4) | 0.34 |
  T3c | 0 (0.0) | 0 (0.0) | 0 (0.0) | – |
  T4 | 1 (0.2) | 1 (0.5) | 0 (0.0) | 0.30 |
  Tx | 9 (2.0) | 2 (0.9) | 7 (3.0) | 0.13 |
 Nodal status (%) |  |  |  | 0.17 |
  N0 | 45 (10.1) | 17 (8.1) | 28 (12.0) |  |
  N1 | 0 (0.0) | 0 (0.0) | 0 (0.0) |  |
  Nx | 399 (89.1) | 194 (91.9) | 205 (88.0) |  |
 Metastatic status (%) | ||||
  M0 | 444 (100.0%) | 211 (100.0) | 233 (100.0) | – |
  M1 | 0 (0.0) | 0 (0.0) | 0 (0.0) | – |
  Mx | 0 (0.0) | 0 (0.0) | 0 (0.0) | – |
 Grading (%) |  |  |  | 0.20 |
  G1 | 77 (17.3) | 39 (18.5) | 38 (16.3) |  |
  G2 | 300 (67.6) | 150 (71.1) | 150 (64.4) |  |
  G3 | 36 (8.1) | 13 (6.2) | 23 (9.9) |  |
  G4 | 2 (0.5) | 0 (0.0) | 2 (0.9) |  |
  No data | 29 (6.5) | 9 (4.3) | 20 (8.6) |  |
 Surgical margin (%) | ||||
  R0 | 396 (89.2) | 194 (91.9) | 202 (86.7) | 0.86 |
  R1 | 15 (3.4) | 7 (3.3) | 8 (3.4) | 0.14 |
  R2 | 0 (0.0) | 0 (0.0) | 0 (0.0) | – |
  Rx | 33 (7.4) | 10 (4.7) | 23 (9.9) | 0.04 |
  R+ | 16 (3.6) | 7 (3.3) | 9 (3.9) | 0.68 |
 Tumour diameter cm | 3.0 (2.2–4.0) | 2.7 (2.0–3.5) | 3.5 (2.5–4.5) | <  0.001 |
 Tumour diameter category cm (%) | ||||
  ≤ 4 cm | 357 (80.4) | 185 (87.7) | 172 (73.8) | <  0.001 |
  >  4 - < 7 cm | 74 (16.7) | 25 (11.8) | 49 (21.0) | 0.01 |
  ≥ 7 – <  10 cm | 10 (2.3) | 1 (0.5) | 9 (3.9) | 0.02 |
  ≥ 10 cm (%) | 3 (0.7) | 0 (0.0) | 3 (1.3) | 0.10 |
 Tumour location | ||||
 Side (%) |  |  |  | 0.81 |
  Right | 233 (52.5) | 112 (53.1) | 121 (51.9) |  |
  Left | 211 (47.5) | 99 (46.9) | 112 (48.1) |  |
  Bilateral | 0 (0.0) | 0 (0.0) | 0 (0.0) |  |
 Quantity (%) |  |  |  | 0.50 |
  Unilocally | 430 (96.8) | 206 (97.6) | 224 (96.1) |  |
  Multilocally | 13 (2.9) | 5 (2.4) | 8 (3.4) |  |
  No data | 1 (0.2) | 0 (0.0) | 1 (0.4) |  |
 Vertical locus (%) | ||||
  Located in upper renal section | 119 (26.8) | 59 (28.0) | 60 (25.8) | 0.61 |
  Located in middle renal section | 168 (37.8) | 86 (40.8) | 82 (35.2) | 0.24 |
  Located in lower renal section | 159 (35.8) | 65 (30.8) | 94 (40.3) | 0.03 |
  No data | 5 (1.1) | 2 (0.9) | 3 (1.3) | 0.74 |
 Horizontal locus (%) |  |  |  | <  0.001 |
  Centrally located | 122 (27.5) | 41 (19.4) | 81 (34.8) | <  0.001 |
  Peripherically located | 313 (70.5) | 164 (77.7) | 149 (63.9) | <  0.001 |
  No data | 9 (2.0) | 6 (2.8) | 3 (1.3) | 0.25 |
c Surgical characteristics | ||||
 Operative time min | 185.0 (145.0–230.0) | 205.0 (160.0–245.0) | 160.0 (130.0–207.0) | <  0.001 |
 Vessel clamping (%) |  |  |  | <  0.001 |
  Ischaemia | 343 (77.3) | 185 (87.7) | 158 (67.8) | <  0.001 |
  No Ischaemia | 57 (12.8) | 9 (4.3) | 48 (20.6) | <  0.001 |
  No data | 44 (9.9) | 17 (8.1) | 27 (11.6) | 0.21 |
 Ischaemia time min | 24 (18–32) | 25 (19–34) | 23 (17–30) | 0.04 |
 Ischaemia time < 15 min / ≥ 15 min (%) | 41 / 302 (9.2 / 68.0) | 19 / 166 (9.0 / 78.7) | 22 / 136 (9.4 / 58.4) | 0.30 |
 Ischaemia time < 20 min / ≥ 20 min (%) | 99 / 244 (22.3 / 55.0) | 51 / 134 (24.2 / 63.5) | 48 / 110 (20.6 / 47.2) | 0.57 |
 Ischaemia time < 25 min / ≥ 25 min (%) | 174 /169 (39.2 /38.1) | 84 / 101 (39.8 / 47.9) | 90 / 68 (38.6 / 29.2) | 0.03 |
 Ischaemia time < 30 min / ≥ 30 min (%) | 231 /112 (52.0 /25.2) | 118 / 67 (55.9 / 31.8) | 113 / 45 (48.5 / 19.3) | 0.13 |
 Ischaemia time < 35 min / ≥ 35 min (%) | 269 / 74 (60.6 /16.7) | 141 / 44 (66.8 / 20.9) | 128 / 30 (54.9 /12.9) | 0.28 |
 Lymphadenctomy (%) | 45 (10.1) | 17 (8.1) | 28 (12.0) | 0.17 |
 Adrenalectomy (%) | 7 (1.6) | 3 (1.4) | 4 (1.7) | 0.92 |
 Intraoperative transfusion rate (%) | 25 (5.6) | 4 (1.9) | 21 (9.0) | <  0.001 |
 Transfusion bags | 2 (1–2) | 1 (1–1.75) | 2 (1–2) | 0.12 |
 Estimated intraoperative blood loss mL | 200 (100–500) n = 88 | 150 (50–425) n = 49 | 400 (200–800) n = 39 | <  0.001 |
 Surgical approach (%) |  |  |  | <  0.001 |
  Retroperitoneal | 162 (36.5) | 0 (0.0) | 162 (69.5) | <  0.001 |
  Transperitoneal | 275 (61.9) | 211 (100.0) | 64 (27.5) | <  0.001 |
  No data | 7 (1.6) | 0 (0.0) | 7 (3.0) | 0.01 |
 Preoperative prophylactic ureteric stent implantation (%) | 72 (16.2) | 54 (25.6) | 18 (7.7) | <  0.001 |
 Postoperative ureteric stent implantation (%) | 14 (3.2) | 5 (2.4) | 9 (3.9) | 0.37 |
 Intraoperative complications (%) | 64 (14.4) | 34 (16.1) | 30 (12.9) | 0.33 |
 Postoperative complications e (%) | 140 (31.5) | 49 (23.2) | 91 (39.1) | <  0.001 |
 Clavien-Dindo score ≥ 3 (%) | 40 (9.0) | 16 (7.6) | 24 (10.3) | 0.32 |
 Hospitalization d | 7 (5–9) | 6 (5–8) | 8 (6–10) | <  0.001 |