BACKGROUND: Nephron-sparing surgery in the form of partial nephrectomy is increasingly becoming the standard of care in @entity1 with @entity703 . Oncological outcomes for partial nephrectomy are equivalent to radical nephrectomy, however, clamping of the hilar vessels to allow resection of @entity5 during partial nephrectomy may cause @entity8 and result in long-term @entity8 . AIM: We carried out a retrospective review of 43 @entity1 undergoing @entity1625 ( @entity1625 ) and assessed functional and oncological outcomes. METHODS: The operative technique initially utilised a thulium laser, with later cases using the LigaSure    vessel sealing device. All @entity1 underwent preoperative cross sectional imaging and anatomical classification accordingly. RESULTS: Forty three @entity1 underwent @entity1625 in our unit from 2006 to 2014. The mean (range) @entity5 diameter on preoperative cross sectional imaging was 28.2 (12-49)  mm. All cases had a warm ischaemia time of zero, as hilar vessels were not clamped in any case. The mean (range) preoperative estimated glomerular filtration rate (eGFR) was 73 (37 to >90) ml/ @entity1009 .73  m(2) and was not significantly different to the post-operative mean (range) eGFR of 71 (31 to >90) ml/ @entity1009 .73  m(2). 34 (79%) of the @entity5 were found to be malignant. Positive surgical margins were found in one case. The mean (range) follow-up time in our cohort was 61.6 (24-127) months and no @entity1 has had a local or distant recurrence. CONCLUSION: Zero ischaemia @entity1625 appears to be a safe and oncologically satisfactory procedure for the management of @entity703 .

A single centre experience of zero-ischaemia XXXX in Ireland.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal impairment', 'ischaemic damage to the kidney'] @entity1625 :: ('MESH:D004828', 'Disease') :: ['laparoscopic partial nephrectomy', 'LPN'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumours', 'tumour'] @entity1009 :: ('966', 'Gene') :: ['min/1'] @entity703 :: ('MESH:D007680', 'Disease') :: ['small localised kidney tumours', 'small renal tumours']
@entity1625 :: (MESH:D004828,Disease) :: ['laparoscopic partial nephrectomy']
