Selective clamping during partial nephrectomy: Leveraging advanced imaging

Abstract

Objective: This video will discuss our experiences using selective clamping during partial nephrectomy with specific focus on leveraging advanced imaging. Design: Video presentation Setting: Hackensack Meridian Health Patient: The patient is a 66 year old female with solitary kidney, a 9p renal mass, and a GFR of 55. The patient signed a written, informed consent for video and audio recording. Results: We used a retroperitoneal approach to access the posterior tumor. Selective clamping was used with a combination of near infrared imaging with ICG and preoperative 3D imaging with IRIS. No intraoperative complications were seen and the patient tolerated the procedure well. Conclusion: Using a combination of near infrared imaging with ICG and preoperative 3D reconstruction augmenting reality allows for selective clamping in partial nephrectomy to become more reproducible.

Keywords

• Advanced imaging
• Partial nephrectomy
• IRIS
• ICG
• Selective clamping
• Solitary