WCE 2019: Retropertoneoscopic or Laparoscopic? Which is the Best for Posterior Tumors Partial Nephrectomy?

Abu Dhabi, United Arab Emirates (UroToday.com)  Dr. Miguel Silva-Ramos provided a brief introduction to his project: retroperitoneoscopic kidney surgery is gaining prominence in the literature. The retroperitoneal route provides more direct and rapid access to the kidney and the renal hilum. It also avoids intra-peritoneal organ manipulation. However, it is seldom used in partial nephrectomy. Dr. Silva-Ramos predicted that posterior tumors may be most suitable for a retroperitoneoscopic approach.

Dr. Silva-Ramos and his team retrospectively reviewed 112 patient cases who underwent partial nephrectomy performed by surgeons at two institutions between April 2011 and April 2019 and compared their demographic, perioperative, and oncological data. There was no significant difference between complications rates, re-intervention rates, and surgical margins.

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In conclusion, Dr. Silva-Ramos found that the retroperitoneal approach had lower estimated blood loss and was generally comparable to the laparoscopic approach in terms of perioperative results. Retroperitoneoscopic kidney surgery is a safe option for the treatment of posterior renal masses.

Presented by: Miguel Silva-Ramos, Department of Urology, Centor Hospitalar Universitario do Port Hospital Lusiadas Porto, Portugal

Written by: Lillian Xie, BA, Department of Urology, University of California, Irvine, California at the 37th World Congress of Endourology (WCE) – October 29th-November 2nd, Abu Dhabi, United Arab Emirates