Αbstract
We report the first case of robot-assisted partial nephrectomy (RARN) and Robot assisted cholecystectomy in a 66 years old female overweight patient with organ-confined right kidney tumor identified on the investigation of gastrointestinal symptoms with a single docking. A modified position of the patient and a slight altered placement of the trocars made feasible the concomitant performance of the two operations. Total blood loss was 80 ml, operation time was 253 min and console time 187 min. The drain was removed on second post-operative day and the patient was discharged at the 3rd post-operative day. Using a single docking of the da Vinci S system, intraoperative time and cost are minimized in patients with both organ-confined kidney tumors and gall bladder stones.
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Gunn A (1981) Acute cholecystitis. Practitioner 225(1354):491–497
Spinoit AF, Stravodimos K, Nikiteas N, Ploumidis A, Lumen N, Ploumidis A (2015) Sequential robot-assisted radical right nephrectomy and cholecystectomy: a safe combined procedure. Int J Med Robot Comput Assist Surg Int J Med Robot 11(2):130–134
Ho HS, Peschel R, Neururer R, Steiner H, Schwentner C, Bartsch G (2008) Another novel application of Hem-o-Lok clips for transient vascular occlusion in robot-assisted laparoscopic partial nephrectomy: an alternative to laparoscopic bulldog and Satinsky clamps. J Endourol 22(8):1677–1680
Ong KH, Huang SK, Yen CS, Tian YF, Sun DP (2016) Simultaneous retroperitoneal robotic partial nephrectomy and hepatectomy for synchronous renal-cell carcinoma and hepatocellular carcinoma in a cirrhotic patient. J Endourol Case Rep 2(1):215–217
Raheem AA, Santok GD, Kim DK et al (2016) Simultaneous Retzius-sparing robot-assisted radical prostatectomy and partial nephrectomy. Investig Clin Urol 57(2):146–149
Patel MN, Eun D, Menon M, Rogers CG (2009) Combined robotic-assisted laparoscopic partial nephrectomy and radical prostatectomy. JSLS J Soc Laparoendosc Surg Soc Laparoendosc Surg 13(2):229–232
Suh BJ, Oh SJ, Shin JY, Ku DH, Bae DS, Park JK (2017) Simultaneous robotic subtotal gastrectomy and right hemicolectomy for synchronous adenocarcinoma of stomach and colon. J Robot Surg 11(3):377–380
Park M, Kim SC, Chung JS et al (2016) Simultaneous robotic low anterior resection and prostatectomy for adenocarcinoma of rectum and prostate: initial case report. Springerplus 5(1):1768
Tsivian A, Konstantinovsky A, Tsivian M et al (2009) Concomitant laparoscopic renal surgery and cholecystectomy: outcomes and technical considerations. J Endourol Endourol Soc 23(11):1839–1842
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K. Stravodimos, I. Katafigiotis, C. Pournaras, D. Dimitroulis, G. Kousournas, E. Fragkiadis, C. Constantinides declare that they have no conflict of interest.
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Written informed consent was obtained from the patient for the publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.
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Stravodimos, K., Katafigiotis, I., Pournaras, C. et al. Combined robot assisted right partial nephrectomy and cholecystectomy with single docking. J Robotic Surg 13, 167–169 (2019). https://doi.org/10.1007/s11701-018-0805-6
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DOI: https://doi.org/10.1007/s11701-018-0805-6