Introduction

Over the last decade, indications for laparoscopy have evolved from ablative procedures to more complex reconstructive surgeries. Open partial nephrectomy remains the standard approach for localized kidney tumors when nephron-sparing surgery is indicated (1). Mounting experience in laparoscopic intracorporeal suturing and availability of refined laparoscopic vascular instruments facilitated the emergence of laparoscopic partial nephrectomy as a viable surgical approach for selected patients, wherein laparoscopic partial nephrectomy attempts to duplicate established principles of open surgical techniques (2).

Laparoscopic partial nephrectomy is a technically advanced procedure with challenges posed when accomplishing complete tumor excision, and securing renal parenchymal hemostasis in a limited time of warm ischemia. Achieving renal hypothermia remains a technical challenge.

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