Abstract
Although retroperitoneal surgery has demonstrated a better quality of recovery compared to transperitoneal routes, Retroperitoneal Robot Assisted Partial Nephrectomy (RP-RAPN) remains proportionally infrequent. As the boundaries of what is achievable robotically continue to be pushed, we explore the current journey taken by RP-RAPN and its feasibility and safety in the modern management of small renal masses. The chapter will focus on the technical nuances of the procedure, explore its role compared to the transperitoneal route, attempt to dispel some of the commonly held myths and misconceptions within mainstream urology regarding its utility and look forward to what the future may hold for RP-RAPN.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Clayman RV, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146(2):278–82.
Gill IS, Delworth MG, Munch LC. Laparoscopic retroperitoneal partial nephrectomy. J Urol. 1994;152(5 Pt 1):1539–42.
Gettman MT, et al. Robotic-assisted laparoscopic partial nephrectomy: technique and initial clinical experience with DaVinci robotic system. Urology. 2004;64(5):914–8.
Sukumar S, Rogers CG. Robotic partial nephrectomy: surgical technique. BJU Int. 2011;108(6 Pt 2):942–7.
Ghani KR, et al. Robotic retroperitoneal partial nephrectomy: a step-by-step guide. BJU Int. 2014;114(2):311–3.
Spaliviero M, et al. Intravenous mannitol versus placebo during partial nephrectomy in patients with normal kidney function: a double-blind, clinically-integrated, Randomized Trial. Eur Urol. 2018;73(1):53–9.
Omae K, et al. Mannitol has no impact on renal function after open partial nephrectomy in solitary kidneys. Int J Urol. 2014;21(2):200–3.
Le B, et al. Comparative analysis of vascular bulldog clamps used in robot-assisted partial nephrectomy. J Endourol. 2013;27(11):1349–53.
Sukumar S, et al. Robotic partial nephrectomy using robotic bulldog clamps. JSLS. 2011;15(4):520–6.
McClintock TR, et al. Can selective arterial clamping with fluorescence imaging preserve kidney function during robotic partial nephrectomy? Urology. 2014;84(2):327–32.
Komninos C, et al. Renal function is the same 6 months after robot-assisted partial nephrectomy regardless of clamp technique: analysis of outcomes for off-clamp, selective arterial clamp and main artery clamp techniques, with a minimum follow-up of 1 year. BJU Int. 2015;115(6):921–8.
Paulucci DJ, et al. Selective arterial clamping does not improve outcomes in robot-assisted partial nephrectomy: a propensity-score analysis of patients without impaired renal function. BJU Int. 2017;119(3):430–5.
Benway BM, et al. Robotic partial nephrectomy with sliding-clip renorrhaphy: technique and outcomes. Eur Urol. 2009;55(3):592–9.
Sammon J, et al. Barbed suture for renorrhaphy during robot-assisted partial nephrectomy. J Endourol. 2011;25(3):529–33.
Williams RD, et al. Has sliding-clip Renorrhaphy eliminated the need for collecting system repair during robot-assisted partial nephrectomy? J Endourol. 2017;31(3):289–94.
Peyton CC, et al. Urinary leak following partial nephrectomy: a contemporary review of 975 cases. Can J Urol. 2020;27(1):10118–24.
Porpiglia F, et al. Transperitoneal vs retroperitoneal minimally invasive partial nephrectomy: comparison of perioperative outcomes and functional follow-up in a large multi-institutional cohort (the RECORD 2 project). Surg Endosc. 2021;35(8):4295–304.
Hughes-Hallett A, et al. Robot-assisted partial nephrectomy: a comparison of the transperitoneal and retroperitoneal approaches. J Endourol. 2013;27(7):869–74.
Gin GE, et al. Comparison of perioperative outcomes of retroperitoneal and transperitoneal minimally invasive partial nephrectomy after adjusting for tumor complexity. Urology. 2014;84(6):1355–60.
Choo SH, et al. Transperitoneal versus retroperitoneal robotic partial nephrectomy: matched-pair comparisons by nephrometry scores. World J Urol. 2014;32(6):1523–9.
Kim EH, et al. Retroperitoneal robot-assisted partial nephrectomy for posterior renal masses is associated with earlier hospital discharge: a single-institution retrospective comparison. J Endourol. 2015;29(10):1137–42.
Sharma P, et al. Is surgeon intuition equivalent to models of operative complexity in determining the surgical approach for nephron sparing surgery? Indian J Urol. 2016;32(2):124–31.
Maurice MJ, et al. Robotic partial nephrectomy for posterior tumors through a retroperitoneal approach offers decreased length of stay compared with the Transperitoneal approach: a propensity-matched analysis. J Endourol. 2017;31(2):158–62.
Stroup SP, et al. Comparison of retroperitoneal and transperitoneal robotic partial nephrectomy for Pentafecta perioperative and renal functional outcomes. World J Urol. 2017;35(11):1721–8.
Laviana AA, et al. Retroperitoneal versus transperitoneal robotic-assisted laparoscopic partial nephrectomy: a matched-pair, bicenter analysis with cost comparison using time-driven activity-based costing. Curr Opin Urol. 2018;28(2):108–14.
Arora S, et al. Retroperitoneal vs Transperitoneal robot-assisted partial nephrectomy: comparison in a multi-institutional setting. Urology. 2018;120:131–7.
Harke NN, et al. Retroperitoneal versus Transperitoneal robotic partial nephrectomy: a multicenter matched-pair analysis. Eur Urol Focus. 2021;7(6):1363–70.
Paulucci DJ, et al. A multi-institutional propensity score matched comparison of Transperitoneal and retroperitoneal partial nephrectomy for cT1 posterior tumors. J Laparoendosc Adv Surg Tech A. 2019;29(1):29–34.
Abaza R, Gerhard RS, Martinez O. Feasibility of adopting retroperitoneal robotic partial nephrectomy after extensive transperitoneal experience. World J Urol. 2020;38(5):1087–92.
Mittakanti HR, et al. Transperitoneal vs. retroperitoneal robotic partial nephrectomy: a matched-paired analysis. World J Urol. 2020;38(5):1093–9.
Xia L, et al. Transperitoneal versus retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis. Int J Surg. 2016;30:109–15.
McLean A, et al. Trans-peritoneal vs. retroperitoneal robotic assisted partial nephrectomy in posterior renal tumours: need for a risk-stratified patient individualised approach. A systematic review and meta-analysis. J Robot Surg. 2020;14(1):1–9.
Malki M, et al. Retroperitoneal robot-assisted partial nephrectomy in obese patients. J Laparoendosc Adv Surg Tech A. 2019;29(8):1027–32.
Tanaka K, et al. Comparison of the transperitoneal and retroperitoneal approach in robot-assisted partial nephrectomy in an initial case series in Japan. J Endourol. 2013;27(11):1384–8.
Marconi L, Challacombe B. Robotic partial nephrectomy for posterior renal Tumours: retro or Transperitoneal approach? Eur Urol Focus. 2018;4(5):632–5.
Sri D, et al. Robotic-assisted partial nephrectomy (RAPN) and standardization of outcome reporting: a prospective, observational study on reaching the “trifecta and Pentafecta”. J Robot Surg. 2021;15:571–7.
Thomas BC, et al. Preclinical evaluation of the Versius surgical system, a new robot-assisted surgical device for use in minimal access renal and prostate surgery. Eur Urol Focus. 2021;7(2):444–52.
Fang AM, et al. Single-port robotic partial and radical nephrectomies for renal cortical tumors: initial clinical experience. J Robot Surg. 2020;14(5):773–80.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Sri, D., Malki, M., Hussain, M., Barber, N. (2022). Retroperitoneal Robotic Partial Nephrectomy. In: Anderson, C., Afshar, M. (eds) Renal Cancer . Springer, Cham. https://doi.org/10.1007/978-3-030-84756-2_14
Download citation
DOI: https://doi.org/10.1007/978-3-030-84756-2_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-84755-5
Online ISBN: 978-3-030-84756-2
eBook Packages: MedicineMedicine (R0)