This procedure can be done through an open or by a minimally invasive or laparoscopic technique. In the laparoscopic technique multiple planned ports are placed through small 5 mm to 10 mm incisions. Using laparoscopic instruments the blood vessels supplying the kidney are securely clipped and divided.

The vision during surgery is superior in laparoscopic due to the magnification and high technology optics and three chip high definition camera. The oncological principle of removing cancer is rigidly followed. The entire specimen is then placed into laparoscopic specimen retrieval bag and removed through a small cosmetic incision usually in the supra pubic region which is easily hidden with clothing.

The dissection and reconstructive repairs are done precisely by robotic arms with seven degree of freedom, operated by the surgeon sitting comfortably on a console.