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Partial nephrectomy: the benefits of advancing technology

Katharina Maria Bretterbauer, Stephan Hruby, Lukas Lusuardi, Daniela Colleselli, Thomas Kunit, Gunter Janetschek and Michael Mitterberger

Open, laparoscopic and robot-assisted approaches are all feasible in partial nephrectomy and every procedure has its own pros and cons. Nowadays, open nephron-sparing surgery is the gold standard treatment of T1 renal cell cancer. In experienced centers, the laparoscopic or robot-assisted approach is a viable alternative. Advances in surgery and imaging techniques provide plenty of potential. With these new technical developments, it is possible to achieve zero ischemia of the kidney in a high percentage of cases, which has a positive effect on long-term renal function outcome. The purpose of this review is to discuss these new developments, which provide improvements to the partial nephrectomy procedure.