With the paradigm shifting from radical to partial nephrectomy, the surgical therapy of small renal tumours (4 cm) has undergone significant evolution in recent decades. When performed by skilled surgeons, Laparoscopic Partial Nephrectomy (LPN) provides comparable results to open partial nephrectomy with less patient morbidity. Analyzing LPN's present situation and potential future course was the goal of this review. Over the past 20 years, LPN has developed quickly, and technical improvements along with new surgical technologies have aided in its wider use in urologic practise. However, there are still several drawbacks, such as the inadequacy of procedures for achieving cold ischemia laparoscopically, the high technical demands of intracorporeal suturing, and the restricted capacity to analyse surgical anatomy outside of the field of view. These are research objectives that aim to reduce the invasiveness of LPN while also enhancing surgical precision and outcomes in the future.
