The R.E.N.A.L. system for classifying tumors aims to predict the surgical challenges of partial nephrectomy. However, the factors involved in surgical planning are many and complex, and are not adequately addressed in this simplified system. The inclusion of oncological features and a 'surgical skills factor' might contribute to its widespread utility.
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Staehler, M. Developing objective criteria to characterize renal masses. Nat Rev Urol 6, 638–639 (2009). https://doi.org/10.1038/nrurol.2009.232
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DOI: https://doi.org/10.1038/nrurol.2009.232