Comparison of the transperitoneal and retroperitoneal approach in robotic-assisted laparoscopic partial ne-phrectomy in treatment of renal carcinoma
TANG Hao
ZHANG Zhengyu
ZHOU Wenquan
WEI Wu
XUE Song
DONG Jie
ZHOU Zhongkui
GE Jingping
Abstract：Objective To compare the transperitoneal and retroperitoneal approach in robotic?assisted ( daVinci surgical sys?tem) laparoscopic partial nephrectomy( RALPN) in treating the renal carcinoma and assess its clinical efficacy. Methods Clinical da?ta of 82 renal carcinoma patients from December 2011 to February 2015 was retrospectively reviewed. Forty?nine patients were per?formed RALPN by transperitoneal approach, and 33 patients by retroperitoneal approach. The operation time, renal artery clamping time, operative blood loss, postoperative intestinal discharge time, surgical margin status and postoperative complications were observed and compared. Results Both groups were performed successfully. The operation time, renal artery clamping time, operative blood loss, surgical margin status and postoperative complications did not show any significant difference between the two approaches ( P>0?05). In retroperitoneal approach group, the postoperative intestinal discharge time was (2?1±0?7)d, shorter than (5?7±1?4)d of transperitoneal approach group ( P<0?05) . Conclusion Retroperitoneal approach appears to be a safe, technically feasible and mini?mally invasive option in RALPN in treatment of renal carcinoma, which shows equivalent outcomes to those of the transperitoneal ap?proach and advantages in recovery of intestinal function.
Keywords：Renal carcinomadaVinci surgical systemPartial nephrectomyTransperitoneal approachRetroperito-neal approach
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1128-1131 )