Feasibility of adopting retroperitoneal robotic partial nephrectomy after extensive transperitoneal experience

Retroperitoneal robot‐assisted laparoscopic partial nephrectomy for posterior located renal tumours: Technique and early term outcomes

“…Changes in renal function after RP‐RPN were reported in limited or reported as a short‐term result. Abaza et al 15 reported postoperative early (as measured during postoperative hospitalisation) eGFR change as −16.3 mL/min/1.73 m 2 (17.6%) in their RP‐RPN series. In our study, eGFR changes were postoperative 1st day, 1st month and 3rd month were −12.43 ± 9.41 (15.40%), −8.24 ± 12.85 (10.21%), and −3.71 ± 8.57 (4.60%) mL/min/1.73 m 2 according to baseline, respectively.…”

“…. Traditionally, the trans‐peritoneal approach is preferred for the RPN procedure because of familiarity with important anatomical landmarks and its providing a large working space ,7,14,15 …”

“…Advanced centres started to use RP‐RPN besides TP‐RPN because of its advantages such as quick access to the renal hilum, easier dissection in posterior masses, and ease of renorrhaphy to repair resected tissue 14‐16 .…”

Comparison of Outcomes Between Transperitoneal and Retroperitoneal Robotic Partial Nephrectomy: A Meta-Analysis Based on Comparative Studies

“…Several centers have reported these experiences about retroperitoneal RPN, and have confirmed the feasibility and safety of RRPN. Moreover, for selected patients, RRPN perhaps can achieve more favorable outcomes compared with TRPN, such as operative time, EBL, LOS ( 6 , 16 , 23 ). Recently, many newly published literatures also have studied this issue, and inconsistent results have been reported.…”

Robotic-assisted partial nephrectomy: a new era in nephron sparing surgery

“…However, the use of retroperitoneal approach has recently emerged, given the potential clinical benefits it might offer to patients [6]. As the transition from one approach to the other seems challenging, Dr. Abaza and colleagues share their experience how they transitioned from transperitoneal to retroperitoneal RAPN without much difficulties and no identifiable learning curve [7]. Looking at the same subject from the perspective of a pioneer in the retroperitoneal approach, Dr. Porter and his team report a "matched paired" analysis from their center [8].…”