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.

0 0

Post a comment