RecruitingNot ApplicableNCT06322745

Thulium Beam Coagulation Versus Suture Renorrhaphy for Hemostasis of Tumor Bed in Laparoscopic Partial Nephrectomy

Thulium Beam Coagulation Versus Suture Renorrhaphy for Hemostasis of Tumor Bed in Laparoscopic Partial Nephrectomy: Prospective Randomized Comparative Study

Sponsor

Al-Azhar University

Enrollment

30 participants

Start Date

Jun 1, 2023

Study Type

INTERVENTIONAL

Conditions

Renal Tumor Renal Malignant Tumor

Summary

To compare the outcome of thulium beam coagulation versus suture renorrhaphy for hemostasis of the tumor bed in laparoscopic partial nephrectomy.

Eligibility

Min Age: 16 Years

Plain Language Summary

Simplified for easier understanding

This study is comparing two surgical techniques used to stop bleeding during a minimally invasive (laparoscopic) kidney tumor removal surgery. One technique uses a laser beam (thulium beam coagulation) and the other uses stitches (suture renorrhaphy) to close the area where the tumor was removed. **You may be eligible if:** - You have a single kidney mass that is classified as stage cT1 (meaning it is confined to the kidney and relatively small) - You are scheduled for laparoscopic partial nephrectomy (minimally invasive surgery to remove part of the kidney) **You may NOT be eligible if:** - You have an absolute medical reason you cannot safely undergo laparoscopic surgery (e.g., severe heart or lung disease) - Your kidney mass involves the main blood vessels of the kidney (the hilum) - You have chronic kidney disease Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDURESuture renorrhaphy only for hemostasis of the tumor bed in laparoscopic partial nephrectomy

Suture renorrhaphy will be used in 2 layers; medullary and cortical, with Vicry 2/0 or 3/0 and secured with V-lock. Early unclamping will be done after hemostasis of the medullary layer. Renorrhaphy of the cortical layer will be continued after that.

PROCEDUREThulium beam coagulation and suture renorrhaphy for hemostasis of the tumor bed in laparoscopic partial nephrectomy

A 2-μm continuous thulium laser with 365 μm laser fiber at 30-40 W will be used for coagulation of the tumor bed. Large vessels that may not be completely sealed with thulium beam will be closed by V-lock to achieve safe and stable hemostasis. Early unclamping will be done after hemostasis of the tumor bed. Suture renorrhaphy will be used in 1 layer to approximate the renal parenchyma.