The video shows robotic laser partial kidney removal with no ischemia. Robotic laser partial nephrectomy has been limited by addressing warm and cold ischemia limits during resection. There currently is a lack of reliable means to achieve cold ischemia laparoscopically, and controversy exists as to the limits of warm ischemia before irreversible nephron death occurs. We describe a robotic partial nephrectomy technique with laser tissue welding using a Thullium laser and robotic arm adaptor to induce parenchymal resection and minimize hemorrhage whereby the vessels are not clamped during resection, with zero ischemia time.
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