Novel technique: direct access partial nephrectomy approach through a transperitoneal working space (Roskilde...

Area of Science:

• Urology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Partial nephrectomy is the gold standard for small renal masses.
• Transperitoneal approaches are common, but novel techniques aim to improve efficiency and outcomes.

Purpose of the Study:

• To describe and evaluate the direct access partial nephrectomy technique through a transperitoneal working space, termed the Roskilde technique.
• To assess the safety, feasibility, and surgical outcomes of the Roskilde technique.

Main Methods:

• A prospective, single-center descriptive study was conducted from April 2015 to January 2017.
• The Roskilde technique involves direct peritoneal incision onto the renal fascia for access.
• Surgical outcomes were evaluated using the Trifecta criteria: negative margins, warm ischemia time < 20 minutes, and Clavien-Dindo complication score < 3.

Main Results:

• 122 patients underwent the Roskilde technique for renal mass resection.
• The median operative time was 101 minutes.
• Trifecta achievement was observed in 95% (116/122) of patients, with a median warm ischemia time of 8 minutes.

Conclusions:

• The Roskilde technique is a safe and feasible approach for partial nephrectomy.
• This technique is effective for managing complex renal masses.
• The Roskilde technique demonstrates potential for reduced operative times and high Trifecta achievement rates.