Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: May 13, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Robotic retroperitoneal partial nephrectomy: a four-arm approach.

Joseph Feliciano¹, Michael Stifelman

¹NYU Langone Medical Center, Department of Urology, New York, NY 10016, USA. joseph.feliciano@gmail.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|March 13, 2013

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

External validation of the preoperative risk evaluation for partial nephrectomy (PREP) score.

BJUI compass·2026

Same author

Single-port versus multi-port robot-assisted partial nephrectomy: a multivariate analysis of the surgical trifecta.

Journal of robotic surgery·2026

Same author

Correction: Ureteral stricture: current treatment algorithm and key surgical principles in the robotic upper urinary tract reconstruction era.

World journal of urology·2026

Same author

A novel peritoneal channel technique using a hemostatic agent to minimize symptomatic fluid collections after single-port robot-assisted radical prostatectomy.

Journal of robotic surgery·2026

Same author

Ureteral stricture: current treatment algorithm and key surgical principles in the robotic upper urinary tract reconstruction era.

World journal of urology·2026

Same author

Impact of Bronchiectasis on Healthcare Resource Utilization and Direct Medical Costs of Managing Comorbid Chronic Obstructive Pulmonary Disease, Asthma, and Rheumatoid Arthritis in the United States.

The clinical respiratory journal·2025

A novel 4-arm robotic retroperitoneal partial nephrectomy technique is safe and effective for kidney cancer. This approach offers optimal tissue exposure, potentially reducing complications and positive margins in renal tumor removal.

Area of Science:

Urology
Robotic Surgery
Oncology

Background:

Robotic partial nephrectomy is a viable alternative to traditional laparoscopic methods.
While transperitoneal robotic approaches are established, the retroperitoneal technique remains less described.
This study introduces a novel 4-arm robotic retroperitoneal partial nephrectomy approach.

Purpose of the Study:

To describe the technique and report initial outcomes of a 4-arm robotic retroperitoneal partial nephrectomy.
To evaluate the safety, reproducibility, and efficacy of this novel surgical approach.

Main Methods:

A review of cases using the robotic retroperitoneal approach was conducted.
Descriptive statistics were used to analyze patient characteristics, operative parameters, and oncologic outcomes.

More Related Videos

Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction

Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction

Published on: January 3, 2020

Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy

Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy

Published on: November 20, 2021

Related Experiment Videos

Last Updated: May 13, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction

Robot-Assisted Radical Antegrade Modular Pancreatosplenectomy Including Resection and Reconstruction of the Spleno-Mesenteric Junction

Published on: January 3, 2020

Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy

Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy

Published on: November 20, 2021

The study focused on patients who underwent a 4-arm retroperitoneal robotic partial nephrectomy.

Main Results:

Eight patients underwent the 4-arm retroperitoneal robotic partial nephrectomy with no reported complications.
The median tumor size was 2cm, with all tumors being posterior renal masses.
Key operative metrics included a median operative time of 202 minutes, warm ischemia time of 18 minutes, estimated blood loss of 100cc, and length of stay of 2 days.
Pathology confirmed renal cell carcinoma (RCC) in 7 patients, all with negative surgical margins.

Conclusions:

The 4-arm robotic retroperitoneal partial nephrectomy is a safe and reproducible technique.
The addition of a fourth arm enhances tissue traction, potentially improving surgical exposure.
This improved exposure may lead to decreased complications and a reduction in positive surgical margins.