- Early unclamping (EU) during robotic partial nephrectomy can reduce postoperative complications such as renal pseudoaneurysm and urine leak.
Why this matters
- Although experienced robotic surgeons may be familiar with the EU technique, few studies have thoroughly investigated it.
- Researchers reviewed the health records of patients who underwent robotic partial nephrectomy with EU for presumed renal malignancy (N=463; men, 62.6%; BMI >30 kg/m2, 43.8%; mean tumor size, 3.1 cm) and compared outcomes with other partial nephrectomy studies.
- Funding: None disclosed.
- The postoperative complication rate within 30 days was 14.7%; 88% of complications were Clavien-Dindo grades I-II.
- 1 patient (0.2%) experienced urine leak after simultaneous partial nephrectomy and pyelolithotomy for partial staghorn stone.
- No patients had postoperative renal pseudoaneurysm.
- The study was retrospective and single center, with no randomization.