Retroperitoneoscopic partial nephrectomy in children: a multicentric international comparative study between lateral versus prone approach

ConclusionsBoth lateral and prone approach are feasible and reasonably safe to perform RPN in children but the superiority of one approach over another is not still confirmed. Although prone technique resulted faster compared to lateral approach, the choice of the technique remains dependent on the surgeon ’s personal preference and experience. Our results would suggest that the lateral approach should be preferred to the prone technique when a longer ureterectomy is required, for example in cases of vesico-ureteral reflux into the affected kidney moiety, in order to avoid to leave a long ureteric s tump that could become symptomatic and require a re-intervention.
Source: Surgical Endoscopy - Category: Surgery Source Type: research