RT Journal
A1 Unwala DJ
T1 Alternative routes to the summit require experienced climbers: Comment on “intertransversalis fascia approach in urologic laparoscopic operations”
JF Archives of Surgery
JO Archives of Surgery
YR 2012
FD February 1
VO 147
IS 2
SP 167
OP 167
DO 10.1001/archsurg.2011.1411
UL http://dx.doi.org/10.1001/archsurg.2011.1411
AB 
The retroperitoneal approach is more common in China than it is in the United States. It is difficult to make broad statements regarding the superiority of one approach as it is likely the surgeon's experience and comfort level, rather than technique, that determine success. As described by Li et al,1 the intertransversalis fascia approach provides a clean, clear, bloodless field. However, one of the chief concerns with the retroperitoneal approach, in general, is the smaller working space provided. The transperitoneal approach may provide a gentler learning curve for beginners.