Thulium Beam Coagulation Versus Suture Renorrhaphy for Hemostasis of Tumor Bed in Laparoscopic Partial Nephrectomy
NCT ID: NCT06322745
Last Updated: 2024-03-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
30 participants
INTERVENTIONAL
2023-06-01
2025-03-01
Brief Summary
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Detailed Description
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This study aims to compare the outcome of thulium beam coagulation versus suture renorrhaphy for hemostasis of the tumor bed in laparoscopic partial nephrectomy.
The investigators hypothesize that:
Conducted well designed, randomized prospective comparative study can help to identify which technique is better.
Using thulium beam coagulation for hemostasis of the tumor bed in laparoscopic partial nephrectomy can improve the outcome, shorten intraoperative ischemia time and decrease blood loss.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
First Arm: involves cases of laparoscopic partial nephrectomy done with suture renorrhaphy only for hemostasis of the tumor bed.
Second Arm: involves cases of laparoscopic partial nephrectomy using thulium beam coagulation and suture renorrhaphy for hemostasis of the tumor bed.
TREATMENT
NONE
Study Groups
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suture renorrhaphy group
involves cases of laparoscopic partial nephrectomy done with suture renorrhaphy only for hemostasis of the tumor bed.
Suture 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.
thulium beam coagulation group
involves cases of laparoscopic partial nephrectomy with thulium beam coagulation and suture renorrhaphy for hemostasis of the tumor bed
Thulium 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.
Interventions
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Suture 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.
Thulium 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.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
2. Renal mass involving the hilum.
3. Renal mass in patients with chronic kidney disease.
16 Years
ALL
No
Sponsors
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Al-Azhar University
OTHER
Responsible Party
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Ehab Mohammed Ali Atallah
Assistant lecturer
Principal Investigators
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Aly Abdel-Karim, Professor
Role: STUDY_DIRECTOR
Alexandria University
Abdel-Rahman Ebeid, Professor
Role: STUDY_DIRECTOR
Al-Azhar University-Cairo
Locations
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Urology Department, Al-Azhar University Hospitals
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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1986
Identifier Type: -
Identifier Source: org_study_id
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