Innovations in laparoscopic and robotic partial nephrectomy: a novel 'zero ischemia' technique
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Updated: Jun 6, 2026

Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Manuel S Eisenberg1, Mukul B Patil, Duraiyah Thangathurai
1Center for Advanced Robotic & Laparoscopic Surgery, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Purpose Of Review:
To describe a novel 'zero ischemia' technique for laparoscopic and robotic partial nephrectomy.
Recent Findings:
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.
Summary:
Initial results with our 'zero ischemia' technique have been encouraging. Evaluation of long-term outcomes is ongoing.

