A nephrometry scoring system is a key standard to evaluate the feasibility of partial nephrectomy.

There is currently no comprehensive review of nephrometry scoring systems.

Reasonable parameters affect the validity of the nephrometry scoring system.

Technology affects the development of nephrometry scoring systems.

A nephrometry scoring system is a key standard to evaluate the feasibility of partial nephrectomy (PN). Whether based on two-dimensional or three-dimensional images, simplicity, effectiveness, and practicality are the keys to the nephrometric scoring system. Since the emergence of RENAL score in 2009, numerous scoring systems based on different anatomical parameters are established to seek accurately and few parameters to assess the risk of PN and complications. This study aimed to achieve a three-game winning streak in PN more easily and efficiently (negative resection margin, maximum preservation of normal nephron function, and avoiding short-term and long-term complications). Using PubMed, we counted 28 kinds of nephrometric scoring systems. We considered only English literatures published and excluded editorials, commentaries, and meeting abstracts. To the best of our knowledge, this is to date and most comprehensive summary as well as an outlook of the nephrometric scoring system.

Partial nephrectomy

Renal tumor

Nephrometric scoring system

Anatomical scoring system

Three-dimensional technology

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