{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T12:10:42Z","timestamp":1775823042285,"version":"3.50.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T00:00:00Z","timestamp":1766793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>\n                    Robotic-Assisted Partial Nephrectomy (RAPN) can be performed via a transperitoneal (t-RAPN) or retroperitoneal (r-RAPN) approach. Despite the retroperitoneal route being potentially more suitable for posterior renal tumors, most surgeons prefer the transperitoneal access due to greater familiarity. This study evaluated perioperative and functional outcomes of r-RAPN versus t-RAPN for posterior renal masses performed by a surgeon without prior retroperitoneal experience. We retrospectively analyzed patients undergoing RAPN for posterior renal tumors between September 2023 and April 2025. Patient and tumor characteristics, operative time (OT), warm ischemia time (WIT), \u0394eGFR, length of stay (LOS), complications, and Trifecta rate were compared. Trifecta was defined as WIT\u2009&lt;\u200925\u2009min, negative margins, and absence of Clavien-Dindo\u2009\u2a7e\u2009III complications. Twenty patients were included: eight underwent t-RAPN and 12\u2009r-RAPN. Baseline features were comparable. r-RAPN showed significantly shorter OT (125\u2009\u00b1\u200929\u2009min vs 168\u2009\u00b1\u200937\u2009min,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.01), time on console (72\u2009min vs 110\u2009min,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.01), and WIT (12\u2009min vs 18\u2009min,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.048). Trifecta was achieved in all cases. Multivariate analysis identified surgical approach as the only independent predictor of console time (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.024), with r-RAPN reducing it by 39\u2009min. In conclusion, r-RAPN is feasible and safe even without prior retroperitoneal experience, offering comparable outcomes to t-RAPN with shorter operative times.\n                  <\/jats:p>","DOI":"10.1177\/03915603251407024","type":"journal-article","created":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T10:12:21Z","timestamp":1766830341000},"page":"164-169","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Tailoring robotic-assisted partial nephrectomy: Should a retro- or transperitoneal approach be adapted based on tumor location, rather than surgeon\u2019s preference?"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9933-8259","authenticated-orcid":false,"given":"Valeria","family":"Feliciangeli","sequence":"first","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nunzia","family":"Abbate","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Orecchia","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8237-8079","authenticated-orcid":false,"given":"Giuseppe","family":"Farullo","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Asimakopoulos","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0308-8824","authenticated-orcid":false,"given":"Enrico","family":"Finazzi Agr\u00f2","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Albisinni","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2025.02.020"},{"key":"e_1_3_3_3_2","author":"Partin AW","year":"2020","unstructured":"Partin AW, Dmochowski RR, Kavoussi LR, et al. 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