Abstract
Partial nephrectomy (PN) is the standard of care in the treatment of small renal masses. However, significant underutilization remains and most PNs are still performed through an open incision despite greater morbidity and longer recovery (Urology, 67(2):254–9, 2006). Though open PNs are often performed retroperitoneally via the flank, retroperitoneal robotic PN has seen less adoption compared to the transperitoneal approach. Smaller working space and limited anatomic landmarks may present an initial challenge, but the retroperitoneal approach is ideal for posterior or lateral masses, as well as those with prior abdominal operations. Our objective is to provide a detailed illustration of our surgical approach to robotic retroperitoneal partial nephrectomy (BJU Int, 114(2):311–3, 2014).
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Abbreviations
- PN:
-
Partial nephrectomy
- RP-RPN:
-
Retroperitoneal robotic partial nephrectomy
- TP-RPN:
-
Transperitoneal robotic partial nephrectomy
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Retroperitoneal access and trocar placement (MOV 127055 kb)
Management of paranephric fat (MOV 127954 kb)
Hilar dissection (MOV 64489 kb)
Tumor exposure (MOV 87369 kb)
Tumor excision and renorrhaphy (MOV 240397 kb)
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Lee, J.J., Porter, J.R. (2017). Retroperitoneal Robotic Partial Nephrectomy. In: Su, LM. (eds) Atlas of Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-45060-5_8
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DOI: https://doi.org/10.1007/978-3-319-45060-5_8
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