Zero Ischemia Laparoscopic Partial Nephrectomy
NCT02634385 · Status: WITHDRAWN · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL
Last updated 2016-07-27
Summary
Laparoscopic partial nephrectomy (LPN) is often reserved for patients with a small peripheral tumour, in the hands of an experienced surgeon since it demands a high degree of endoscopic skill. Renal vessel clamp for vascular control is a required step during standard LPN. However, this creates a time limiting step for the surgeon and induces renal injury via warm ischemia and reperfusion injury. This novel approach can substantially reduce renal injury during LPN via superselective embolization of level II renal arteries pre-operatively. This technique facilitates the performance of a clamp-less, zero-ischemia LPN, significantly simplifying the procedure by remove time thresholds within which to perform tumor excision. The preliminary results are promising; however, there is a need for further corroboration of their results, in addition to a randomized controlled trial comparing this modified, zero ischemia technique with standard LPN.
Conditions
- Small Renal Mass
Interventions
- PROCEDURE
-
Renal Artery Embolization
Patients will be receiving embolization prior to planned partial nephrectomy.
- PROCEDURE
-
Partial Nephrectomy (Surgical Resection)
Patients will be undergoing planned partial nephrectomy post embolization.
Sponsors & Collaborators
-
St. Joseph's Healthcare Hamilton
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2016-04-30
- Completion
- 2016-06-30
Countries
- Canada
Study Locations
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