Abstract
We reported a case of right renal cell carcinoma in a 72-year-old man treated with robot-assisted partial nephrectomy with retroperitoneal approach. Clinical stage was cT1aN0M0. Tumor size was 24 mm. We performed RAPN with transperitoneal approach in the initial 28 patients between May 2016 and June 2017 in our hospital. As RAPN with transperitoneal approach was difficult in this patient owing to a history of abdominal surgery of colon cancer and cholelithiasis, we selected RAPN with retroperitoneal approach. The surgery was performed safely and without any complications. The operative time was 188 minutes, console time was 49 minutes, and warm ischemia time was 23 minutes. The pathological diagnosis was clear cell carcinoma, pT1a, negative margins. He was discharged on postoperative day 6. RAPN with retroperitoneal approach is effective for patients with intraabdominal adhesion.
