Publication Name	World Journal of Nephrology
Manuscript ID	119576
Country	Japan

Category	Urology & Nephrology
Manuscript Type	Retrospective Cohort Study
Article Title	Renal functional and surgical outcomes after robot-assisted partial nephrectomy for hilar vs non-hilar tumors: Trifecta and pentafecta evaluation
Manuscript Source	Invited Manuscript
All Author List	Takuto Hara, Kotaro Suzuki, Naoto Wakita, Yasuyoshi Okamura, Hideto Ueki, Yukari Bando, Tomoaki Terakawa, Yoji Hyodo, Koji Chiba, Jun Teishima, Akihisa Yao and Hideaki Miyake
Funding Agency and Grant Number
Corresponding Author	Takuto Hara, MD, PhD, Department of Urology, Kobe University Graduate School of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe 6500017, Hyōgo, Japan. supermarimo85@carp.kobe-u.ac.jp
Key Words	Robot-assisted partial nephrectomy; Hilar tumors; Renal cell carcinoma; Trifecta; Pentafecta; RENAL nephrometry score
Core Tip	This retrospective cohort study evaluated surgical and renal functional outcomes of robot-assisted partial nephrectomy for hilar and non-hilar renal tumors using trifecta and pentafecta metrics. While trifecta reflects perioperative quality, pentafecta incorporates renal functional preservation and chronic kidney disease progression, which are clinically relevant from a nephrological perspective. Using propensity score matching and multivariate analysis, we demonstrate that robot-assisted partial nephrectomy can achieve comparable pentafecta outcomes in hilar and non-hilar tumors when tumor complexity and surgical experience are appropriately considered, supporting the feasibility of nephron-sparing surgery for anatomically complex hilar tumors.
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; In press

Received	2026-02-03 01:08
Peer-Review Started	2026-02-03 01:09
First Decision by Editorial Office Director	2026-02-09 09:24
Return for Revision	2026-02-09 09:24
Revised	2026-02-18 00:42
Publication Fee Transferred
Second Decision by Editor	2026-04-03 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-03 08:49
Articles in Press	2026-04-03 08:49
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-6124 (online)
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