Planning Operative Strategy Using a Digital Renal Artery Clamping Tool

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Ghent

About this trial

A proposed new tool ('DIPLANN-tool' - Digital Planning in Nephrectomy) for predicting kidney perfusion zones on a segmented 3D model during robot-assisted partial nephrectomy (RAPN) for localized renal cancer demonstrated high accuracy when planning selective clamping (SC) for RAPN. However, the tool's clinical added value still needs to be confirmed. Therefore, a randomized controlled trial using a study and control group is the preferred study design.

Experimental group: the use of the DIPLANN-tool + conventional computed tomography (CT) imaging for preoperative planning and perioperative guidance during RAPN.

Control group: the use of only conventional CT imaging for preoperative planning and perioperative guidance during RAPN (= current standard of care).

The primary endpoint is planning and performing as planned a SC strategy. Secondary endpoints include patients' health, patients' insight and surgeons' benefits.

Eligibility criteria

Qualifiers

aged 18 years or above

cT1-2 N0 M0 renal mass

planned to undergo RAPN

multiphase CT scan with arterial phase available

Disqualifiers

> 3 ipsilateral renal masses

women who are pregnant or breastfeeding

previous renal surgery that is expected to complicate renal cancer surgery

cT ≥ 3

Trial design

Treatments tested in this trial

  • Pre-operative explanation of the procedure (DIPLANN + CT)
  • Pre-operative surgical planning (DIPLANN + CT)
  • RAPN (DIPLANN + CT)
  • Pre-operative explanation of the procedure (CT only)
  • Pre-operative surgical planning (CT only)
  • RAPN (CT only)

Treatment groups

235 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University Hospital, Ghent

Lead sponsor

Stichting tegen Kanker

Collaborator

University Ghent

Collaborator