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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Robot-Assisted Kidney Transplantation
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Published on: July 19, 2021

Retroperitoneal Robot-Assisted Nephroureterectomy: Technical Description and Single Center Experience.

Atsunari Kawashima1, Yu Ishizuya1, Yoshiyuki Yamamoto1

  • 1Department of Urology, Graduate School of Medicine, The University of Osaka, Osaka, Japan.

Asian Journal of Endoscopic Surgery
|May 28, 2026
PubMed
Summary

Robot-assisted radical nephroureterectomy (RANU) using a retroperitoneal approach is feasible for upper tract urothelial carcinoma (UTUC) in select patients. Careful preoperative assessment is key to managing complexity and potential difficulties during this robotic surgery.

Keywords:
Da Vinci XiRANUnephroureterectomyretroperitoneumrobotic surgeryupper urinary tract

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
06:39

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

Published on: November 22, 2019

Area of Science:

  • Urology
  • Robotic Surgery
  • Oncology

Background:

  • Robot-assisted radical nephroureterectomy (RANU) is gaining traction for upper tract urothelial carcinoma (UTUC).
  • The retroperitoneal approach offers advantages by avoiding bowel mobilization.
  • However, its adoption is limited by technical challenges and confined workspaces in robotic surgery.

Purpose of the Study:

  • To describe a step-by-step retroperitoneal technique for RANU.
  • To evaluate the perioperative outcomes of this approach in an initial single-center series.

Main Methods:

  • Retrospective review of 46 patients undergoing intended fully robot-assisted retroperitoneal RANU.
  • Exclusion of patients requiring laparoscopic assistance, radical cystectomy, or transperitoneal surgery.
  • Assessment of patient characteristics, operative variables, deviations, and complications.

Main Results:

  • Median operative time was 372 minutes, with low estimated blood loss (20 mL).
  • Median postoperative hospital stay was 11 days.
  • Unplanned deviations occurred in 8.8% of cases, and Clavien-Dindo grade ≥3 complications occurred in 8.8%.

Conclusions:

  • Retroperitoneal RANU is feasible in selected UTUC patients.
  • Preoperative assessment of anatomical complexity and surgical history is crucial.
  • Identifying challenging cases can optimize the use of the retroperitoneal robotic approach.