Kidney Clamp by Using Intestinal Forceps during Nephron SparingSurgery

We experienced a case of renal cell carcinoma in congenital solitary kidney of an 80-year old male with a status post bypass grafts of coronary arteries and advanced heart failure. Incidentally we identified a left renal cell carcinoma 60mm in diameter, and an aneurysm of left renal artery. According to the R.E.N.A.L. Nephrometry Score, the tumor had 2-2-3-2 and total 9 points. Preoprerative e-GFR was 62.1 ml/min. He underwent open nephron sparing surgery by using intestinal forceps for kidney clamp instead of vascular clamp. Following an uneventful postoperative course, e-GFR became 45.6 ml/min. No recurrence was observed at 25 months after surgery. Even though laparoscopic partial nephrectomy is the gold standard for small renal mass, open procedure is still a mainstay for imperative cases.