Off-clamp robotic partial nephrectomy: Points of technique
Objective: To present a stepwise approach to off-clamp robotic partial nephrectomy (RPN), focusing on tips and tricks. Patients and surgical procedure: Two emblematic cases are presented to describe the technique. The first one refers to a 27 years-old guy diagnosed with a 5-cm – R.E.N.A.L. 7 – right-sided mass located at the lower pole.
Riccardo Bertolo +4 more
openaire +3 more sources
Differences in pentafecta outcome between on-clamp and off-clamp robotic partial nephrectomy. [PDF]
Robotic partial nephrectomy (RAPN) can be considered the gold standard for the treatment of localized renal tumors (cT1-T2a). The on-clamp approach is considered safer for complex tumors, but the off-clamp approach is constantly growing, offering advantages for renal function.We enrolled 517 patients underwent RAPN between 1/2020 and 12/2023 and we ...
Fiorello N +6 more
europepmc +3 more sources
Robotic-assisted enucleation for renal masses: A comparison of on-clamp and off-clamp approach. [PDF]
Abstract Introduction In surgically excising renal masses, studies have demonstrated that tumor enucleation is an effective option. However, there is limited literature comparing off‐clamp to on‐clamp tumor enucleation.
Rac G +5 more
europepmc +3 more sources
Predictive factors for postoperative renal function after off-clamp, non-renorrhaphy partial nephrectomy. [PDF]
Abstract Background: There is limited information on perioperative renal function during off-clamp, non-renorrhaphy open partial nephrectomy.Therefore, this study aimed to clarify the chronological postoperative changes in renal function after off-clamp, non-renorrhaphy open partial nephrectomy.Methods: Clinical records of 138 patients with ...
Nakamura M +12 more
europepmc +4 more sources
How many cases are required to achieving early proficiency in purely off-clamp robot-assisted partial nephrectomy? [PDF]
Background and purposeOff-clamp robot-assisted partial nephrectomy (Offc-RAPN) is a technically challenging procedure that can effectively avoid renal ischemia owing to the absence of hilar vessel preparation and clamping.
Zhang G +6 more
europepmc +2 more sources
Off-clamp Versus On-clamp Robot-assisted Partial Nephrectomy: A Systematic Review and Quantitative Synthesis by the European Association of Urology Young Academic Urologists Renal Cancer Study Group. [PDF]
Context: The superiority of off-clamp robot-assisted partial nephrectomy (RAPN) over the on-clamp technique has recently been questioned by randomized controlled trials comparing the two techniques.
Shrivastava N +12 more
europepmc +2 more sources
Comparison of Perioperative, Renal Functional, and Oncological Outcomes Between Off-Clamp and On-Clamp Robot-Assisted Partial Nephrectomy for Renal Tumors: An Updated Evidence-Based Analysis. [PDF]
ObjectivesWe aimed to report the latest and largest pooled analysis and evidence update to compare the perioperative, renal functional, and oncological outcomes between off-clamp and on-clamp robot-assisted partial nephrectomy (RAPN) for renal tumors ...
Huang Y +8 more
europepmc +2 more sources
Perioperative, Functional, and Oncologic Outcomes of On-Clamp Versus Off-Clamp Partial Nephrectomy: An Updated Meta-analysis of 9027 Patients. [PDF]
Objective: The aim of this study was to determine the comparative efficacy and safety between on-clamp and off-clamp partial nephrectomy in patients with renal masses.
Serag H +5 more
europepmc +2 more sources
Randomized Clinical Trial Comparing On-clamp Versus Off-clamp Laparoscopic Partial Nephrectomy for Small Renal Masses (CLOCK II Laparoscopic Study): A Intention-to-treat Analysis of Perioperative Outcomes. [PDF]
Background: Recent randomized trials (RCTs) in the field of robotic partial nephrectomy (PN) showed no significant differences in perioperative outcomes between the off- and on-clamp approaches.
Bertolo R +14 more
europepmc +2 more sources
On-Clamp Versus Off-Clamp Robot-Assisted Partial Nephrectomy for Localized Renal Tumors: A Retrospective Single-Center Cohort Study. [PDF]
Background: Robot-assisted partial nephrectomy (RAPN) is an established nephron-sparing technique for localized renal tumors. It is performed using on-clamp (temporary renal artery clamping) or off-clamp (without hilar clamping) strategies.
Stoeva-Grigorova S +9 more
europepmc +2 more sources

