During a nephrectomy, which clamp should the CST have ready to occlude the ureters?

The right angle clamp is the appropriate instrument to have ready for occluding the ureters during a nephrectomy. This specific clamp is designed with a long, straight arm and a right angle at the tip, which allows for precise maneuvering in surgical fields that may be confined or complex. When performing a nephrectomy, it is crucial to isolate and temporarily occlude the ureters to prevent urine flow and facilitate a safe procedure while reducing the risk of injury to surrounding structures.

While other instruments like hemostatic clamps and Kelly clamps can be used in various surgical scenarios, they do not provide the same level of access and control in the retroperitoneal space where the ureters are located. Hemostatic clamps may have limited reach, and Kelly clamps, while capable of clamping vessels, are also not specifically designed for the precise action required for ureteral occlusion. Metzenbaum scissors are primarily used for cutting tissue and are not suited for clamping or occluding any structures.