Warm ischemia time can be reduced safely during laparoscopic partial nephrectomy
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Laparoscopic partial nephrectomy (LPN) is effective for the removal of small tumors. A warm ischemia period >30 min during surgery, however, raises the risk of ipsilateral renal function impairment. Although renal cooling can reduce this risk, minimally invasive techniques are awkward. Baumert et al. investigated whether releasing the arterial clamp before complete closure of the renal parenchyma could reduce warm ischemia time (WIT) without affecting surgical outcome.
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