Beyond Renorrhaphy? Interpreting the Evidence for Sutureless Purely Off-clamp Partial Nephrectomy.

Amparore, Daniele; Autorino, Riccardo; Mir, M Carmen · Eur Urol · 2026

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Abstract

This trial shows that excellent outcomes can be achieved without routine renorrhaphy in selected patients undergoing purely off-clamp robotic partial nephrectomy. Beyond demonstrating noninferiority, it highlights the challenges of evaluating surgical innovation within conventional randomized trial frameworks.