Innovations in laparoscopic and robotic partial nephrectomy: a novel 'zero ischemia' technique.
OBJECTIVE
To describe a novel 'zero ischemia' technique for laparoscopic and robotic partial nephrectomy.


RESULTS
Laparoscopic partial nephrectomy has been performed in 15 patients without the need for warm ischemia by utilizing pharmalogically induced hypotension. This consecutive series includes complex tumors in patients with multiple comorbidities. Herein we describe our current practice, initial results, and several practical considerations associated with the application of this novel technique.


CONCLUSIONS
Initial results with our 'zero ischemia' technique have been encouraging. Evaluation of long-term outcomes is ongoing.
Center for Advanced Robotic & Laparoscopic Surgery, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Manuel S
MS
Eisenberg
Mukul B
MB
Patil
Duraiyah
D
Thangathurai
Inderbir S
IS
Gill
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007022:Hypotension / Q000139:chemically induced; D007680:Kidney Neoplasms / Q000601:surgery; D010535:Laparoscopy / Q000379:methods / Q000639:trends*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods / Q000639:trends*; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods / Q000639:trends*; D052096:Warm Ischemia