Tumor Rupture During Robotic Partial Nephrectomy

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorAzienda Ospedaliera Universitaria Integrata Verona

About this trial

The RUPTURE Project is a multi-center observational study aiming to understand tumor rupture during robotic partial nephrectomy (RAPN), a minimally invasive surgery used to treat kidney tumors. Tumor rupture-an unintended break of the tumor capsule during surgery-occurs in about 10-15% of cases but is poorly studied. This event may increase the risk of cancer recurrence or spread, but its true impact is still unclear.

The study includes adult patients who experienced a tumor rupture during RAPN. Researchers will collect data on patient and tumor characteristics, surgical techniques, how the rupture occurred and was managed, and long-term outcomes. Follow-up visits will monitor for recurrence, metastases, and survival for up to five years. No experimental treatments or extra procedures are involved; only standard care is followed.

By analyzing at least 100 cases from various hospitals, the study hopes to clarify whether tumor rupture affects prognosis and to identify risk factors and best practices for managing it. This could help improve patient safety, surgical strategies, and future clinical guidelines. All data are handled confidentially, and participation is voluntary.

Eligibility criteria

Qualifiers

Patients who experienced tumor rupture during RAPN (referred to an unintended breach of the tumor capsule with or without spillage of malignant tissue during tumor resection)

Patients who provide informed consent to participate

Patients from 18 to 80 years of age.

Disqualifiers

Patients undergoing radical nephrectomy or other nephron-sparing procedures.

Patients undergoing partial nephrectomy with other approaches (open, pure laparoscopic)

Patients with multiple ipsilateral tumors

Patients diagnosed with genetic abnormalities that increase the likelihood of developing renal cell carcinoma.

Trial design

Treatments tested in this trial

  • robot-assisted partial nephrectomy

Treatment groups

100 Participants
are divided into 1 treatment group

Sponsors and collaborators

Azienda Ospedaliera Universitaria Integrata Verona

Lead sponsor

Fundación Investigación Hospital IMED Valencia, Valencia, Spain

Collaborator

Hospital Clinic of Barcelona

Collaborator

The Cleveland Clinic

Collaborator

Fundacio Puigvert

Collaborator

San Raffaele University Hospital, Italy

Collaborator

Guy's and St Thomas' NHS Foundation Trust

Collaborator

University Hospital, Bordeaux

Collaborator

Fox Chase Cancer Center

Collaborator

ASST Grande Ospedale Metropolitano Niguarda

Collaborator

Azienda Ospedaliero-Universitaria Careggi

Collaborator

Ospedale San Luigi Gonzaga, Orbassano

Collaborator

Changhai hospital of Navy Medical University

Collaborator

St. George's Hospital, London

Collaborator

Frimley Health NHS Foundation Trust

Collaborator

Icahn School of Medicine at Mount Sinai

Collaborator

Rennes University Hospital

Collaborator

University of Illinois at Chicago

Collaborator

University of California, San Diego

Collaborator

Hospital da Luz Lisboa, Portugal

Collaborator

Swedish Medical Center

Collaborator

IRCCS Azienda Ospedaliero-Universitaria di Bologna

Collaborator

St. Antonius Hospital Gronau

Collaborator

Regina Elena Cancer Institute

Collaborator

Pitié-Salpêtrière Hospital

Collaborator

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Collaborator

Onze Lieve Vrouwziekenhuis Aalst

Collaborator

Hannover Medical School

Collaborator

Royal Free and University College Medical School

Collaborator

Università degli Studi del Piemonte Orientale Amedeo Avogadro

Collaborator

Memorial Sloan Kettering Cancer Center

Collaborator

The Netherlands Cancer Institute

Collaborator

A.O.U. Città della Salute e della Scienza - Molinette Hospital

Collaborator

University Medical Centre Ljubljana

Collaborator