Vol. 45 (5): 1073-1074, September – October, 2019
Jose Luis Bauza 1, Prithvi Murthy 2, Daniel Sagalovich 2, Riccardo Bertolo 2, Enrique Pieras 1, Pedro Piza 1, Jihad Kaouk 2
1 Department of Urology, Hospital Universitario Son Espases, Palma de Mallorca, Illes Balears, Spain; 2 Center for Laparoscopic and Robotic Surgery, Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, Ohio – United States
To report our step-by-step technique for robotic partial nephrectomy using intracorporeal renal hypothermia (RPNIRH) in a highly complex renal mass. The robotic technology has allowed surgeons to recreate the principles of open surgery in a minimally invasive approach (1). With increasing experience, larger deeply infiltrative tumors can be treated with this technique (2). In complex cases, when a long warm ischemia time is expected, intracorporeal renal hypothermia can be useful to prevent permanent renal function loss (3).