NON CLAMPED,NON ISCHEMIC PARTIAL NEPHRECTOMY- A NEW MODEL OF NEPHRON SPARING SURGERY

Partial nephrectomy is currently regarded as the standard of care for good surgical candidates with organ-confined, anatomically amenable renal masses, and has replaced radical nephrectomy as the treatment of choice for T1 renal tumours when feasible, even in the absence of renal insufficiency. In this approach the strongest modifiable risk factor for renal insufficiency is the duration of ischemia. The case report is presented to emphasis the non clamping non ischemic partial nephrectomy technique, thereby decreasing the renal insult and a better renal function with comparable oncologic outcome with that of a radical nephrectomy for selected cases of renal tumours.