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Ditonno et al. Mini-invasive Surg 2023;7:36 https://dx.doi.org/10.20517/2574-1225.2023.62 Page 9 of 10

CONCLUSION
SP RAPN is rapidly emerging as a novel and promising approach for the treatment of small renal masses.
Initial comparative studies suggest that SP RAPN can offer similar peri- and post-operative outcomes
compared to MP RAPN, with potential benefits such as lower opioid use and improved cosmetic results.
One of the main features of this novel technology is that it allows the expansion of the role of
retroperitoneal kidney surgery. This can translate into faster post-operative recovery, which could
ultimately lead to the implementation of outpatient surgery. To date, SP RAPN has been used mostly for
low to intermediate complexity tumors, but maturing experience will extend its indications to more
complex cases. Further research is warranted to corroborate early promising studies and better define the
role of SP RAPN.

DECLARATIONS
Authors’ contributions
Made substantial contributions to the conception and design of the work: Ditonno F, Franco A, Autorino R
Drafted the manuscript: Ditonno F
Performed data analysis and interpretation: Autorino R, Ditonno F, Manfredi C
Critically revised the work: Autorino R, Antonelli A, De Nunzio C, De Sio M

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2023.

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