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Updated: Jun 4, 2026
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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Two procedures at the same robotic session: robot-assisted laparoscopic radical prostatectomy and cholecystectomy
Ziya Akbulut1, Abdullah Erdem Canda, Haci Ibrahim Cimen
1Ankara Atatürk Training and Research Hospital, 1st Urology Clinic, Ankara, Turkey.
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|February 10, 2011
Summary
This study demonstrates the successful simultaneous robotic-assisted laparoscopic radical prostatectomy and cholecystectomy in a patient with prostate cancer and gallstones. The combined approach offers potential benefits like reduced hospital stay and costs.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- A 66-year-old male presented with right upper abdominal pain and elevated prostate-specific antigen (PSA).
- Diagnosis included cholelithiasis (gallstones) and prostatic adenocarcinoma (Gleason score 4+4).
Observation:
- The patient underwent a simultaneous robot-assisted laparoscopic radical prostatectomy and cholecystectomy.
- Procedure details: 257 minutes console time, 50 mL blood loss.
- Pathology revealed bilateral adenocarcinoma (Gleason score 4+3) with extracapsular extension and clear margins.
Findings:
- The patient was discharged on postoperative day 2.
- First-month follow-up showed a PSA of 0.04 ng/mL and full urinary continence.
- Histopathology confirmed Gleason 4+3 adenocarcinoma with negative surgical margins.
Implications:
- Combined robotic surgery for concomitant prostate cancer and cholelithiasis is feasible.
- This approach may lead to shorter hospital stays, reduced costs, and lower anesthesia risks.
- Potential for improved cosmetic outcomes and patient recovery in complex surgical cases.