“…LPN is already the preferred option in centers with advanced laparoscopic expertise. Several large series of LPN have been published and more than 1100 cases have been reported in the literature [4], [5], [6], [7], [8], [9], [10], [11] and [12]. However, the major urological associations' guidelines do not yet consider LPN as the primary choice for treatment of small renal tumors [1] because of the relatively short follow-up of the available series, which does not allow one to draw conclusions on the long-term oncological outcomes, and because of the longer warm ischemia time compared with OPN and the reported high rate of complications [5], [6], [13], [14], [15] and [16].…”