Renal Cell Carcinoma, Renal Function Abnormal
Conditions
Brief summary
To establish evidence that cold ischemia, achieved through the use of ice slush, can improve the recovery from ischemia on the operated kidney in patients undergoing robot-assisted partial nephrectomy.
Detailed description
Randomly dividing the study cohorts into two groups. One group undergoing cold ischemia partial nephrectomy and the other undergoing warm ischemia partial nephrectomy. Comparing the short-term renal function recovery between the two groups.
Interventions
During the surgical procedure, employing ice to achieve local hypothermia in the kidneys.
Not applying local hypothermia to the kidneys during the surgical procedure
Sponsors
Study design
Intervention model description
Randomly dividing the study cohorts into two groups. One group undergoing cold ischemia robot-assisted partial nephrectomy,while the other group undergoing warm ischemia robot-assisted partial nephrectomy
Eligibility
Inclusion criteria
\- 18 to 80 years old; 2. Intending to perform robot-assisted partial nephrectomy
Exclusion criteria
* Anesthesiologist assessment: Patient unsuitable for general anesthesia; * Having severe cardiovascular and cerebrovascular diseases; * horseshoe kidney; * pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recovery from ischemia | 1-12 months after surgery | (%GFR saved)/(%parenchymal mass preserved) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| surgical duration | Intraoperative | The duration of the surgery |
| surgical complications | 1-12 months after surgery | Intraoperative and postoperative complication incidence rate |
| The extent of decline in the long-term GFR (month13-24) on the operated kidney compared to the new baseline GFR(months 1-12). | up to 2 years after surgery | Postoperative short-term GFR(months 1-12) minus long-term GFR(month13-24) |
Countries
China