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[NEW METHOD OF PARTIAL NEPHRECTOMY WITH SELECTIVE PARENCHYMA CLAMPING].

S-Kh Al'-Shukri, M S Mosoyan, D Yu Semyonov

    Vestnik Khirurgii Imeni I. I. Grekova
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    A novel technique for partial nephrectomy, using selective renal parenchyma clamping, allows safe and effective treatment of renal cell carcinoma. This method avoids clamping renal vessels, improving functional outcomes in open, laparoscopic, and robot-assisted procedures.

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    Area of Science:

    • Urology
    • Surgical Innovation
    • Oncology

    Context:

    • Renal cell carcinoma (RCC) treatment often involves partial nephrectomy.
    • Traditional partial nephrectomy may involve clamping renal vessels, potentially impacting kidney function.
    • Developing minimally invasive techniques with improved functional outcomes is crucial.

    Purpose:

    • To introduce and evaluate a novel method for selective renal parenchyma clamping during partial nephrectomy.
    • To assess the safety and efficacy of this technique in open, laparoscopic, and robot-assisted procedures.
    • To compare functional results between selective parenchyma clamping and traditional renal vessel clamping.

    Summary:

    • A new technique using specialized instruments for selective renal parenchyma clamping was developed for open, laparoscopic, and robot-assisted partial nephrectomy.
    • The study involved 86 cases with renal vessel clamping and 24 cases with selective renal parenchyma clamping.
    • Results demonstrated that partial nephrectomy can be safely performed with selective renal parenchyma ischemia without clamping the main renal vessels.

    Impact:

    • This technique offers a potentially safer approach to partial nephrectomy, preserving renal function.
    • It provides an alternative for surgeons performing minimally invasive or open partial nephrectomies for renal cell carcinoma.
    • Improved functional outcomes may lead to better long-term patient health after kidney cancer treatment.