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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Da Vinci Single-Port Robot-Assisted Partial Nephrectomy: First European Experiences
Ernest Kaufmann1,2, Silvan Sigg3,4, David Jan Thomas Abt1
1Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
Urologia Internationalis
|April 27, 2026
Summary
Single-port robot-assisted partial nephrectomy (SP-RAPN) is feasible and safe in European early experiences. Both transperitoneal and retroperitoneal approaches demonstrated promising oncological outcomes for nephron-sparing surgery.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Single-port robot-assisted partial nephrectomy (SP-RAPN) is an emerging technique for kidney cancer surgery.
- European data on SP-RAPN is limited, necessitating the evaluation of early clinical experiences.
Purpose of the Study:
- To present early European experiences with SP-RAPN.
- To compare perioperative outcomes of transperitoneal (TP) and retroperitoneal (RP) approaches for SP-RAPN.
Main Methods:
- Retrospective analysis of consecutive patients undergoing SP-RAPN.
- Comparison of perioperative outcomes between TP and RP approaches.
Main Results:
- 61 patients underwent SP-RAPN (31 TP, 30 RP) without open conversion.
- RP approach showed shorter operative time, less blood loss, and shorter hospital stay compared to TP.
- Tumor size was significantly larger in the TP group; oncological outcomes and major complications were comparable.
Conclusions:
- SP-RAPN demonstrates promising feasibility, safety, and early oncological outcomes in European centers.
- Both TP and RP approaches are viable for SP-RAPN, with specific advantages for each approach.
