Dr Alexander Kutikov and his colleagues show a real word case on a patient with very unfavorable tumor location and body habitus and to walk the viewer through the nuances of set-up and each surgical step.

Retroperitoneal robotic partial nephrectomy is an extremely useful tool in a kidney surgeon's armamentarium. This technique allows the surgeon to avoid peritoneal dissection in patients with significant intraperitoneal pathology and/or scarring. Furthermore, in patients with posterior renal masses, the technique affords direct access to the tumor, making excessive perirenal dissection and aggressive medial rotation of the kidney unnecessary. 

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