Kidney Neoplasms, Renal Cell Carcinoma
Conditions
Keywords
renal tumour, partial nephrectomy, laparoscope, segmental renal artery clamping
Brief summary
The purpose of this study is to compare the efficacy and safety of the segmental artery clamping and main renal artery clamping during laparoscopic partial nephrectomy
Detailed description
Renal tumor patients,for whom laparoscopic partial nephrectomy is suitable, will be randomly divided into two groups,segmental artery clamping group and main artery clamping group. All procedures were performed by the same laparoscopic surgeon. Blood loss, operation time, warm ischemia time, complications and affected renal function before and after operation will be recorded and compared. The safety and efficiency of laparoscopic partial nephrectomy with segmental renal artery clamping will be evaluated in comparison with the conventional main renal artery clamping technique.
Interventions
Laparoscopic partial nephrectomy with segmental artery clamping will be performed for patients enrolled in this group.
Laparoscopic partial nephrectomy with main renal artery clamping technique will be performed for patients enrolled in this group.
Sponsors
Study design
Eligibility
Inclusion criteria
* 20\<age\<70yr * Stage T1a * Patients volunteered for this study and provided written informed consent
Exclusion criteria
* Bilateral renal tumor * tumor of solitary kidney * glomerulonephritis * renal insufficiency * GFR of invalid kidney less than 30ml/min * presence of suspect metastasis * serious systematic disease: severe coagulation disorders * important organ insufficiency and severe psychological disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glomerular Filtration Rate | 3 months postoperative |
Secondary
| Measure | Time frame |
|---|---|
| warm ischemia time | during surgery |
Other
| Measure | Time frame |
|---|---|
| estimated blood loss | during surgery |
Countries
China