Update advancements in laparoscopic partial nephrectomy
Shang Jiwen1,2, Zhang Xu1
1Department of Urology, Chinese PLA General Hospital, Beijing, 100853, China; 2Department of Urology, Shanxi Academy of Medical Science, Shanxi Dayi Hospital
Abstract：Partial nephrectomy (PN) offers equivalent oncologic outcomes to radical nephrectomy (RN) but has greater preservation of renal function and less risk of chronic kidney diseases and cardiovascular diseases. Laparoscopic PN remains underutilized, because it is a technically challenging operation with higher rates of perioperative complications compared to open PN and laparoscopic RN. A review of the latest PN literature that demonstrates recent advancements in laparoscopic approaches, imaging modalities, ischemic mitigating strategies, renorrhaphy techniques, and hemostatic agents may allow greater utilization of LPN and expand its usage to increasingly more complex tumors.
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