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Off-clamp Versus On-clamp Partial Nephrectomy: Re-envision of a Dilemma
We contextualize controversial evidence on the impact of warm ischemia on functional outcomes after partial nephrectomy for localized renal tumors and provide a holistic framework for re-envisioning the dilemma of off-clamp versus on-clamp surgery. The focus should shift away from the surgeon towards patient- and kidney-related characteristics.
Bertolo, Riccardo +3 more
openaire +4 more sources
Introduction: Aim of the study was to compare perioperative, functional and oncological outcomes after off-clamp vs on-clamp robotic partial nephrectomy (RPN).
Juan Garisto +2 more
exaly +2 more sources
Objectives To compare long-term functional outcomes of off-clamp or on-clamp partial nephrectomy patients of two high-volume centers with cT1-2/N0 M0 renal tumors and baseline estimated glomerular filtration rate >60 mL/min.
Mariaconsiglia Ferriero +2 more
exaly +2 more sources
CONTEXT: On-clamp partial nephrectomy (PN) has been considered the standard approach to minimize intraoperative bleeding and thus achieve adequate control of tumor margins.
alexnader Kutikov +2 more
exaly +2 more sources
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Laparoscopic off‐clamp partial nephrectomy using soft coagulation
International Journal of Urology, 2015ObjectivesTo assess the effectiveness of soft coagulation in off‐clamp laparoscopic partial nephrectomy.MethodsA total of 32 patients with renal tumors underwent laparoscopic partial nephrectomy with off‐clamp using soft coagulation between May 2012 and September 2013.
Fumiya, Hongo +8 more
openaire +2 more sources
PERIOPERATIVE OUTCOMES OF OFF‐CLAMP VS COMPLETE HILAR CONTROL LAPAROSCOPIC PARTIAL NEPHRECTOMY
BJU International, 2012What's known on the subject? and What does the study add? Off‐clamp laparoscopic partial nephrectomy (LPN) is thought to preserve renal function by limiting warm ischaemia time (WIT) and consequently reperfusion injury.
Arvin K, George +10 more
openaire +5 more sources
Hilar clamping versus off-clamp laparoscopic partial nephrectomy for T1b tumors
Current Opinion in Urology, 2013An off-clamp, or zero-ischemia, approach to laparoscopic partial nephrectomy has been a proposed means of preserving global renal function by preventing ischemia to normal renal parenchyma. However, for clinical stage T1b tumors this provides a unique challenge as the large size of these tumors further complicates an already difficult procedure.
Jessica E, Kreshover +2 more
openaire +2 more sources
Off-Clamp Robot-Assisted Partial Nephrectomy for Multiple Ipsilateral Tumors
Videourology™, 2012SAGE-Journals-Accessible-Video-Player 10.1089/vid.2012.0013.M1 sj-vid-1-vid-10.1089_vid.2012.0013
Eric H. Kim +5 more
openaire +1 more source
Off-Clamp Robotically-Assisted Partial Nephrectomy in Polycystic Kidney Disease
Videourology™, 2018SAGE-Journals-Accessible-Video-Player 10.1089/vid.2017.0064.M1 sj-vid-1-vid-10.1089_vid.2017.0064
Alexander P. Glaser +2 more
openaire +1 more source
Minerva Urology and Nephrology
The aim of this study was to assess the real impact of ischemia during robotic-assisted partial nephrectomy (RAPN) in high-risk patients, this study focused on ischemia-sensitive populations such as those with a solitary kidney (SK) or chronic kidney disease (CKD), who may benefit from off-clamp (OfC) nephron-sparing surgery.We retrospectively analyzed
Léo, Schurdi-Levraud +18 more
openaire +2 more sources
The aim of this study was to assess the real impact of ischemia during robotic-assisted partial nephrectomy (RAPN) in high-risk patients, this study focused on ischemia-sensitive populations such as those with a solitary kidney (SK) or chronic kidney disease (CKD), who may benefit from off-clamp (OfC) nephron-sparing surgery.We retrospectively analyzed
Léo, Schurdi-Levraud +18 more
openaire +2 more sources

