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Updated: May 13, 2026
Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Robot-assisted partial nephrectomy: a comparison of the transperitoneal and retroperitoneal approaches
Archie Hughes-Hallett1, Prasad Patki, Nilay Patel
1Department of Surgery and Cancer, Imperial College, London, United Kingdom. a.hughes-hallett@imperial.ac.uk
Purpose:
To present the oncologic and functional outcomes of robot-assisted partial nephrectomy (RAPN) and analyze retroperitoneal and transperitoneal approaches.
Patients And Methods:
RAPN was performed on 103 patients; 44 patients underwent a retroperitoneal and 59 a transperitoneal approach. Demographic, operative, and postoperative data was collected and retrospectively analyzed on all patients.
Results:
Overall average warm ischemic time was 20.4 (0-48) minutes, total operative time was 175.3 (85-330) minutes, and estimated blood loss was 258.1 (20-3100) mL. When retroperitoneal and transperitoneal approaches were compared, there was no significant difference in warm ischemic time but a significant reduction in both estimated blood loss and total operative time in the retroperitoneal group.
Conclusion:
Our series would suggest that if performed by a surgeon familiar with a laparoscopic retroperitoneal approach to renal surgery, retroperitoneal RAPN is at least equivalent to the more common transperitoneal approach in the outcomes assessed.
