Actively Recruiting
Led by Niguarda Hospital · Updated on 2025-11-21
124
Participants Needed
1
Research Sites
12 weeks
Total Duration
Researchers are investigating which surgical position is safer and more effective for patients undergoing robot-assisted partial nephrectomy (RAPN), a minimally invasive procedure to remove small kidney tumors while preserving healthy kidney tissue. This trial compares the traditional flank position, where the patient lies on their side, with a newer supine position called the Supine Anterior Retroperitoneal Approach (SARA), where the patient lies on their back. Both procedures use the Da Vinci ae Single Port (SP) robotic system to perform surgery through a single small incision. The study focuses on adults with small, localized kidney cancers (tumors 7 cm or less, clinical stage cT1).
CONDITIONS
Clinical Trial Addressing the Best Surgical Approach for Partial Nephrectomy With Single Port Robotic System in the Management of Localized Renal Cell Carcinoma
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to hospital discharge on postoperative day 1
Participants undergo robot-assisted partial nephrectomy using either the standard flank approach or the supine anterior retroperitoneal approach (SARA) with the Da Vinci SP system, followed by immediate post-operative care.
1 surgical procedure and hospital stay
Duration - 30 days after surgery
Participants are monitored for recovery including pain management, time to first walk and flatus, and assessment of any complications within 30 days after surgery.
Approximately 3 to 4 follow-up visits in 30 days
Total: 1 location
1
ASST Grande Ospedale Metropolitano Niguarda
Milan, Italy, 20162
Actively Recruiting
P
Paolo Dell'Oglio, MD PhD
S
Stefano Tappero, MD
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
2
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Stefano Tappero, Sofia Giudici, Elio Mazzone...
https://pubmed.ncbi.nlm.nih.gov/41707608