ArticleFrontiers in surgery2025
Multiport anterior retroperitoneal access for robotic-assisted partial nephrectomy: an innovative technique for renal tumour.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Retroperitoneal Renal Surgery with the Hugo™ RAS System: Feasibility, Setting and Perioperative Outcomes of the First Dedicated Series.Journal of clinical medicine · 2026Article
- Robotic partial nephrectomy is inching toward the gold standard for small renal masses-a narrative review.Translational andrology and urology · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic Partial Nephrectomy can be performed via transperitoneal or retroperitoneal access. The retroperitoneal approach offers direct access to the renal artery and reduces the risk of intestinal injury, especially in patients with prior abdominal surgeries or adhesions. This study presents a novel retroperitoneal robotic technique using anterior trocar placement with the patient in lateral decubitus. Access is gained through a pararectal incision, with the AirSeal trocar placed first, followed by the creation of an extraperitoneal working space and placement of robotic trocars. After docking, the renal hilum is isolated, the mass is enucleated following arterial clamping, and the collecting system is sutured selectively. The procedure ends with hemostasis and drainage tube placement. This is the first reported use of anterior retroperitoneal access with the patient in lateral decubitus, differing from previous techniques performed in the supine position. Advantages include avoiding intraperitoneal adhesions and improved assistant access. The technique is especially suitable for renal tumors in the middle or lower third of the kidney but can also be applied to upper pole lesions. Preliminary outcomes are promising; further research with larger cohorts is needed to validate its effectiveness.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.