# Single-port robot assisted partial nephrectomy via the supine anterior retroperitoneal approach (SARA)

## TL;DR

This paper describes a successful robotic surgery for kidney tumor removal using a single-port approach in a patient with a history of diverticulitis.

## Contribution

The paper introduces the use of the Da-Vinci Single-Port robot via the SARA approach for partial nephrectomy.

## Key findings

- The surgery was performed successfully without complications.
- The warm ischemia time was 14 minutes, indicating efficient tumor removal.

## Abstract

This video explores the technique of robot-assisted partial nephrectomy using the Da-Vinci Single-Port robot via SARA in a 56-year-old male with history of diverticulitis found to have a 2.5 cm renal mass upon workup for abdominal pain. Retroperitoneal access was obtained at the McBurney point for port placement. Surgical steps: 1) retroperitoneal access at McBurney's point 2) renal hilum dissection 3) renal tumor identification 4) intraoperative ultrasound 5) hilar clamping 6) renal tumor excision using enucleoresection technique 7) Deep renorrhaphy 8) Early unclamping and cortical renorrhaphy. Surgery was successful without any complications with a warm ischemia time of 14 minutes.