Robot-assisted partial nephrectomy: A single-center matched-pair analysis of the retroperitoneal versus the transperitoneal approach

Özet

Objective: Comparison of the retroperitoneal (RRPN) perioperative variables and the transperitoneal (TRPN) robot-assisted partial nephrectomy (RPN) using a matched-pair analysis. Material and methods: A retrospective review was carried out for 224 patients who underwent RPN between 2014 and 2019. A matched-pair analysis was performed on 51 pairs of patients. The matching criteria were age, Charlson comorbidity index, body mass index, the grade of renal insufficiency, tumor diameter, and Pre- operative Aspects and Dimensions Used for an Anatomical Classification of Renal Tumors score. Results: The time to reach the renal hilum (P .05). Conclusion: The advantages of RRPN lie in the shorter time to reach the renal hilum and the lower complica- tion rates; the comparability with the other parameters proves the safety and feasibility of the RRPN access for localized kidney tumors.