The retroperitoneal approach in minimally invasive pelvic surgery

The retroperitoneal approach is a minimally invasive surgery than can be performed through direct access or through indirect access, with abdominal penetration. The choice of indirect transabdominal approach is appropriate when additional abdominal surgery is indicated (radical hysterectomy, pelviabdominal exploration). The advantages of the direct retroperitoneal access are the absence of risk of creating intra-abdominal adhesions associated with those of intraperitoneal operative laparoscopy.