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Updated: May 25, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Combined robotic-assisted retroperitoneoscopic partial nephrectomy and extraperitoneal prostatectomy. First case

Andrea Guttilla1, Alessandro Crestani, Fabio Zattoni

  • 1Department of Oncological and Surgical Sciences, Urology Clinic, University of Padua, Italy.

Urologia
|January 31, 2012
PubMed
Summary

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Re: Aldo Brassetti, Gabriele Tuderti, Umberto Anceschi, et al. Sutureless Purely Off-clamp Robotic Partial Nephrectomy: Evidence from a Randomized Controlled Noninferiority Trial. Eur Urol. In press. http://dx.doi.org/10.1016/j.eururo.2026.04.019.

European urology·2026
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Rethinking first-line therapy in overactive bladder: is it time for a paradigm shift?

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Enhancing ARPI therapy in HSPC: who, when and why?

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From Genes to Proteins: The Indispensable Role of Proteogenomics in Advancing Clear Cell Renal Cell Carcinoma Research.

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Percutaneous thermal ablation versus robot-assisted partial nephrectomy for localized renal cell carcinoma: a systematic review and meta-analysis stratified by tumor complexity.

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No-Touch Adaptive Versus Conventional Robot-Assisted Partial Nephrectomy for Localized Renal Tumours with High Nephrometry Complexity: A Comparative Analysis of Early Outcomes.

Cancers·2026

This study details the first reported case of combined robot-assisted partial nephrectomy and radical prostatectomy. This innovative approach offers a new surgical option for patients with concurrent kidney and prostate cancer.

Area of Science:

  • Urology
  • Surgical Oncology
  • Robotic Surgery

Background:

  • Simultaneous surgical treatment for distinct malignancies in different organs presents unique challenges.
  • Robot-assisted minimally invasive surgery offers potential benefits in complex cases.

Observation:

  • A 54-year-old male patient with a history of prostate cancer and left clear cell renal cell carcinoma was evaluated.
  • The patient was a candidate for a combined surgical procedure.

Findings:

  • The first reported instance of a concomitant retroperitoneal robot-assisted partial nephrectomy and extraperitoneal radical prostatectomy was successfully performed.
  • This dual procedure addressed both renal and prostate malignancies in a single surgical session.

Implications:

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  • This case demonstrates the feasibility of a novel combined robotic surgical technique for managing synchronous upper and lower urinary tract cancers.
  • This approach may offer advantages in terms of patient recovery and oncological outcomes for select patients.