[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100610963":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":29,"centralContacts":34,"locations":43,"responsibleParty":60,"collaborators":23,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":68,"eligibilityCriteria":69,"healthyVolunteers":64,"sex":70,"minAge":71,"maxAge":23,"enrollmentInfo":72,"targetDuration":23,"studyType":75,"phases":76,"briefSummary":78,"conditions":79,"keywords":81,"overallStatus":45,"whyStopped":23,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"Niguarda Hospital","OTHER",[8,13],{"label":9,"type":6,"description":10,"interventionNames":11},"GROUP A - STANDARD FLANK APPROACH","Patients are positioned laterally (on their side) with the operative flank elevated at a 12-15° angle. The Da Vinci SP robotic system is docked either transperitoneally or retroperitoneally through a single access port.",[12],"Other: STANDARD FLANK APPROACH",{"label":14,"type":15,"description":16,"interventionNames":17},"GROUP B - Supine anterior retroperitoneal approach (SARA).","EXPERIMENTAL","Patients are positioned supine with a mild Trendelenburg tilt (0°-10°). A retroperitoneal space is created through an anterior incision, providing direct access to the kidney without repositioning.",[18],"Procedure: Supine anterior retroperitoneal approach (SARA).",[20,24],{"type":6,"name":21,"description":10,"armGroupLabels":22,"otherNames":23},"STANDARD FLANK APPROACH",[9],null,{"type":25,"name":26,"description":27,"armGroupLabels":28,"otherNames":23},"PROCEDURE","Supine anterior retroperitoneal approach (SARA).","Patients are positioned supine with a mild Trendelenburg tilt (0°-10°). A retroperitoneal space is created through an anterior incision, providing direct access to the kidney without repositioning",[14],[30],{"name":31,"affiliation":32,"role":33},"Paolo Dell'Oglio, MD PhD","ASST Grande Ospedale Metropolitano Niguarda","PRINCIPAL_INVESTIGATOR",[35,39],{"name":31,"role":36,"phone":37,"phoneExt":23,"email":38},"CONTACT","+393407981232","paolo.delloglio@ospedaleniguarda.it",{"name":40,"role":36,"phone":41,"phoneExt":23,"email":42},"Stefano Tappero, MD","+393287132369","stefano.tappero@ospedaleniguarda.it",[44],{"facility":32,"status":45,"city":46,"state":23,"zip":47,"country":48,"countryCode":49,"cosmosGeoPoint":50,"geoPoint":55,"contacts":56},"RECRUITING","Milan","20162","Italy","IT",{"type":51,"coordinates":52},"Point",[53,54],12.59836,42.78235,{"lat":54,"lon":53},[57,58],{"name":31,"role":36,"phone":37,"phoneExt":23,"email":38},{"name":40,"role":36,"phone":41,"phoneExt":59,"email":42},"+390264447896",{"type":61,"investigatorFullName":23,"investigatorTitle":23,"investigatorAffiliation":23,"oldNameTitle":23,"oldOrganization":23},"SPONSOR","100610963","clinical-trial-addressing-the-best-surgical-approach-for-partial-nephrectomy-with-single-port-robotic-system-in-the-management-of-localized-renal-cell-carcinoma-100610963",false,"NCT07234409","Clinical Trial Addressing the Best Surgical Approach for Partial Nephrectomy With Single Port Robotic System in the Management of Localized Renal Cell Carcinoma","Standard Flank Approach vs Supine Approach for Robot-assisted Partial Nephrectomy","K3","* Age ≥ 18 years;\n* Presence of a single, unilateral, primary renal mass ≤ 7 cm in diameter (clinical stage cT1) documented CT scan\n* No evidence of systemic disease or lymph node involvement;\n* Candidate for robot-assisted partial nephrectomy using the Da Vinci SP platform;\n* Signed informed consent\n* Absence of solitary kidney status\n* No previous partial nephrectomy\u002Fies on the same kidney\n* Absence of preoperative chronic kidney disease (CKD) stage 5\n* Absence of any condition that makes mandatory or significantly more adequate the choice of a specific approach over the others (e.g., multiple previous major abdominal surgeries, horseshoe kidney, presence of stomas)","ALL","18 Years",{"count":73,"type":74},124,"ESTIMATED","INTERVENTIONAL",[77],"NA","This study aims to find out which surgical position is safer and works better for patients candidate to robot-assisted partial nephrectomy (RAPN) - a minimally invasive procedure to remove a small kidney tumor while preserving healthy kidney tissue.\n\nDuring this operation, the patient can be placed in two different positions:\n\n* the standard flank position, where the patient lies on their side\n* a newer supine position, where the patient lies on their back using a technique called Supine Anterior Retroperitoneal Approach (SARA).\n\nBoth approaches are performed using the Da Vinci® Single Port (SP) robotic system, a state-of-the-art surgical robot that allows the operation to be done through a single small incision.\n\nThe traditional flank position has been used for many years, but it can be uncomfortable for patients and may increase the risk of certain anesthetic or nerve-related complications, especially in people with higher body weight. The new supine SARA technique could make surgery faster, safer, and less painful, but it has not yet been tested in a randomized study.\n\nThis is the first clinical trial designed to directly compare these two approaches in patients with small and localized kidney cancers (tumors ≤7 cm, stage cT1).\n\nThe study will include 124 patients treated at ASST Grande Ospedale Metropolitano Niguarda in Milan, Italy - a leading center in robotic urologic surgery.",[80],"Kidney Neoplasm",[82,83,84,85,86],"kidney cancer","robotic surgery","single port","supine position","full flank position","2025-11-18",{"date":89,"type":90},"2025-11-21","ACTUAL",{"date":92,"type":90},"2025-10-10",{"date":94,"type":74},"2027-03-30",{"name":5,"class":6},1]