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Retroperitoneal Robotic Partial Nephrectomy

  • J. Joy Lee
  • James R. PorterEmail author
Chapter

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).

Keywords

Partial nephrectomy Retroperitoneal approach Robotic surgery Renal cell carcinoma Technique 

Abbreviations

PN

Partial nephrectomy

RP-RPN

Retroperitoneal robotic partial nephrectomy

TP-RPN

Transperitoneal robotic partial nephrectomy

Supplementary material

Video 8.1

Retroperitoneal access and trocar placement (MOV 127055 kb)

Video 8.2

Management of paranephric fat (MOV 127954 kb)

Video 8.3

Hilar dissection (MOV 64489 kb)

Video 8.4

Tumor exposure (MOV 87369 kb)

Video 8.5

Tumor excision and renorrhaphy (MOV 240397 kb)

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of UrologySwedish Medical CenterSeattleUSA

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