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Optimizing selective renal clamping in nephron-sparing surgery using the Nussbaum clamp
Jörg Simon1, Robert dePetriconi, Ludwig Rinnab
1Urology Department, University of Ulm, Ulm, Germany. joerg.simon@uniklinik-ulm.de
Urology
|February 26, 2008
Summary
The Nussbaum clamp offers an effective and easy method for selective clamping during nephron-sparing surgery. This technique simplifies the procedure, making it a valuable option for kidney tumor removal.
Area of Science:
- Urology
- Surgical Techniques
- Oncology
Background:
- Nephron-sparing surgery is crucial for preserving kidney function.
- Selective clamping techniques aim to minimize ischemia during renal tumor removal.
- Traditional clamping methods can be complex and time-consuming.
Purpose of the Study:
- To describe the application of the Nussbaum clamp for selective clamping in nephron-sparing surgery.
- To highlight the advantages of using the Nussbaum clamp in this context.
- To evaluate the feasibility and outcomes of this technique.
Main Methods:
- The Nussbaum clamp was used for selective renal pedicle clamping during tumor excision.
- The procedure involved minimal dissection, avoiding exposure of the renal artery and vein.
- Twelve patients with renal tumors or cysts underwent this technique between January and November 2006.
Main Results:
- Selective clamping with the Nussbaum clamp was achieved in a median of 19 minutes.
- Median intraoperative blood loss was 300 mL.
- The clamp was utilized for various tumor locations, including in a horseshoe kidney.
Conclusions:
- The Nussbaum clamp is a commercially available, user-friendly, and effective instrument.
- It facilitates selective clamping in nephron-sparing surgery.
- This technique offers a practical approach for renal tumor management.
