Selective clamping during partial nephrectomy: Leveraging advanced imaging

• Published in: Urology video journal Vol. 13; p. 100116
• Main Authors: Alter, Kevin, Stifelman, Michael
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.03.2022; Elsevier
• Subjects: Advanced imaging; ICG; IRIS; Kidney; Near infrared imaging; Partial nephrectomy; Retroperitoneal; Selective clamping; Solitary; Partial nephrectomy; IRIS; Near infrared imaging; Solitary; Retroperitoneal; Selective clamping; ICG; Kidney; Advanced imaging
• ISSN: 2590-0897; 2590-0897
• DOI: 10.1016/j.urolvj.2021.100116

This video will discuss our experiences using selective clamping during partial nephrectomy with specific focus on leveraging advanced imaging. Video presentation Hackensack Meridian Health 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. 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. 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.