Retroperitoneoscopic surgery (RPS) is a minimally invasive procedure performed through small incisions in the back to access the kidney, adrenals, and ureter for conditions like removing kidney stones or repairing abnormalities. Common RPS procedures include nephrectomies, adrenalectomies, and repairing ureteral obstructions. RPS provides direct access to organs without touching the bowel, allowing for early access to blood vessels and an easy approach to the renal hilum. The benefits of RPS include it being safe, causing less pain, and resulting in quicker recovery times and shorter hospital stays compared to open surgery.

1. Retroperitoneoscopic
Surgery

2. Retroperitoneoscopic Urosurgery (RPS)
RPS is a minimally-invasive
procedure performed in the
retroperitoneal area (back of
the abdomen) for urological
conditions affecting kidney,
adrenals, and ureter.

3. Common Retroperitoneoscopic
Urosurgeries

4. Common Retroperitoneoscopic Surgeries
Removal of kidneys
(Nephrectomy - simple, radical & partial)
Removal of renal pelvis,
kidney, ureter, and bladder cuff
(Radical nephroureterectomy)

5. Common Retroperitoneoscopic Surgeries
Removal of adrenals
(Adrenalectomy)
Removal of stones in renal pelvis
(Pyelolithotomy)

6. Common Retroperitoneoscopic Surgeries
Removal of kidney stones
(Nephrolithotomy)
Repair of UPJ obstruction
(Ureteropelvic junction)

7. Procedure
3 small incisions
are made in the flank (on the side between the rib and the hip).

8. Procedure
A tiny camera is passed through the incision to examine the
retroperitoneal space.

9. Procedure
The surgeon views and
treats the abnormalities.

10. Why Is RPS Better?
Early access to blood vessels
connected to the kidneys

11. Why Is RPS Better?
Easy access to renal hilum

12. Why Is RPS Better?
Direct access to target organs
RPS is preferred in laparoscopic surgery involving
peritoneal adhesions.

13. Why is RPS better?
Urological surgeries are
possible without touching the
bowel

14. Benefits Of Retroperitoneoscopic Urosurgery
Safe and feasible Almost painless
Quicker recovery Shorter hospital stay
Lesser chance of bowel injury