(UroToday.com) In a podium presentation in the ESU-ESOU-ERUS session at the 19th Meeting of the EAU Section of Oncological Urology, Dr. Nina Harke presented on considerations for choosing transperitoneal or retroperitoneal approaches for robotic partial nephrectomy. As is often done, she highlighted current guideline recommendations in this space. In Europe, the guidelines are non-comital with a recommendation that either an open, pure laparoscopic or robotic-assisted laparoscopic approach may be used “based on surgeon expertise and skills”. In contrast, the American Urological Association guidelines recommend that “a minimally invasive approach should be considered” when it would not compromise oncologic, functional, and perioperative outcomes. However, among patients opting for minimally invasive surgical approaches, neither guideline comments on considerations for transperitoneal or retroperitoneal surgery.