Prospective, randomized trial comparing surgical, functional and oncological outcomes between clamp and clamp-less robot assisted partial nephrectomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
200
Renal artery clamping during partial nephrectomy
Robotic partial nephrectomy without renal artery clamping
Clinical Department of Urology, university Hospital Spedali Civili di Brescia
Brescia, Italy
Glomerular Filtration Rate (GFR) variation
difference between pre and post operative Glomerular Filtration Rate (GFR)
Time frame: 3-6 months
Feasibility of clampless robotic partial nephrectomy
number of cases shifted from clampless to clamping procedure; time of suture of the renal parenchyma; overall operative time.
Time frame: Duration of the surgical procedure
Morbidity of clampless robotic partial nephrectomy
Estimated blood loss; pre/post operative variation of hemoglobin value; overall complications rate; bleeding complications rate
Time frame: 90 days
Oncological safety of clampless robotic partial nephrectomy
positive surgical margins rate
Time frame: 15 days
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