Re: Jordan M. Rich, Kennedy E. Okhawere, Charles Nguyen, et al. Transperitoneal Versus Retroperitoneal Single-port Robotic-assisted Partial Nephrectomy: An Analysis from the Single Port Advanced Research Consortium. Eur Urol Focus. In press. https://doi.org/10.1016/j.euf.2023.06.004

We read with great interest the recent article by Rich et al. [ [1] Rich JM, Okhawere KE, Nguyen C, et al. Transperitoneal versus retroperitoneal single-port robotic-assisted partial nephrectomy: an analysis from the Single Port Advanced Research Consortium. Eur Urol Focus. In press. https://doi.org/10.1016/j.euf.2023.06.004. Google Scholar ]. The authors conducted a remarkable study to compare perioperative and postoperative outcomes of transperitoneal (TP) and retroperitoneal (RP) approaches for single-port (SP) robot-assisted partial nephrectomy (RAPN). The findings from this study suggest that, given appropriate patient selection guided by patient and tumor characteristics, surgeons have flexibility in choosing either a TP or RP approach for SP RAPN with satisfactory outcomes. Although the trial was meticulously designed and executed with high quality, we wish to raise a few points of concern warranting attention.