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Transperitoneal versus retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis
Nikita Shrivastava1, Priyank Bhargava2, Gopal Sharma3
1Department of Urology, DKS Super Specialty Hospital and Postgraduate Institute, Raipur, India.
World Journal of Urology
|February 15, 2024
Summary
The retroperitoneal (RP) approach for robot-assisted partial nephrectomy (RAPN) shows lower overall complications, shorter operative times, and reduced blood loss compared to the transperitoneal (TP) approach. Further research is needed to confirm these findings.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Robot-assisted partial nephrectomy (RAPN) is a standard treatment for localized kidney tumors.
- Both transperitoneal (TP) and retroperitoneal (RP) surgical approaches exist for RAPN.
- The comparative efficacy of TP versus RP approaches in RAPN remains unclear.
Conclusions:
- The retroperitoneal (RP) approach for RAPN is associated with significantly better perioperative outcomes, including reduced complications, EBL, BT, and LOS, compared to the transperitoneal (TP) approach.
- Despite the observed benefits, the lack of randomized controlled trials necessitates further investigation to solidify these findings.
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