{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:02:37Z","timestamp":1789495357280,"version":"build-2803163510"},"reference-count":19,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,20]],"date-time":"2024-01-20T00:00:00Z","timestamp":1705708800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>The transperitoneal approach (TP) and the retroperitoneal approach (RP) are two common methods for performing nephrectomy or partial nephrectomy. However, both approaches face difficulties, such as trocar placement and limited working space (RP). TP is impaired in the case of dorsal tumors and dissection of the renal artery can be challenging due to the anatomic localization dorsally to the renal vein. A hybrid approach that combines both methods has been previously reported in a case series, but not evaluated systematically. This study proposes a modified hybrid approach, which we call the transabdominal lumbar approach (TALA), involving late robotic docking after elaborating the retroperitoneum using conventional laparoscopy. The study compares the last 20 consecutive patients who underwent RP and the last 20 patients who underwent TALA at our institution. The investigated variables include operative time and amount of blood loss, hospitalization duration, postoperative analgesia requirement, and postoperative complications. The study found no significant difference in operative time, blood loss, ischemia time, or hospital stay between the two groups. The TALA group had fewer complications regarding Clavien\u2013Dindo category 3, but one complication of category 4. In Conclusion, TALA is a safe and promising approach that combines the advantages of RP and TP.<\/jats:p>","DOI":"10.3390\/cancers16020446","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T06:49:31Z","timestamp":1705906171000},"page":"446","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Transabdominal Lumbar Approach (TALA) for Robotic Renal Surgery\u2014A Retrospective Single-Center Comparative Study and Step-by-Step Description of a Novel Approach"],"prefix":"10.3390","volume":"16","author":[{"given":"Franziska Maria","family":"Heining","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Urology, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Bieri","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5384-2522","authenticated-orcid":false,"given":"Tilo","family":"Niemann","sequence":"additional","affiliation":[{"name":"Department of Radiology, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Maletzki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Tschung","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Pascal","family":"Adank","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2968-347X","authenticated-orcid":false,"given":"Fabian","family":"R\u00f6ssler","sequence":"additional","affiliation":[{"name":"Department of Surgery and Transplantation, University Hospital Z\u00fcrich, University of Z\u00fcrich, 8006 Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Nocito","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8467-5333","authenticated-orcid":false,"given":"Lukas John","family":"Hefermehl","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, Kantonsspital Baden, 5404 Baden, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"E194","DOI":"10.1111\/ans.14154","article-title":"Comparison of perioperative, renal and oncologic outcomes in robotic-assisted versus open partial nephrectomy","volume":"88","author":"Tan","year":"2018","journal-title":"ANZ J. 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