Robot-assisted single port radical nephrectomy and cholecystectomy: description and technical aspects

Area of Science:

• Minimally Invasive Surgery
• Urologic Oncology
• Robotic Surgery

Background:

• Robot-assisted surgery offers enhanced precision and ergonomics.
• Single-port robotic surgery aims to minimize trocar site morbidity while retaining robotic advantages.
• Previous RASS-RN procedures have been documented in Europe and the US.

Observation:

• A 66-year-old male renal transplant recipient presented with a kidney mass and symptomatic gallstones.
• The patient underwent a successful Robot-Assisted Single Site Radical Nephrectomy (RASS-RN) with concomitant cholecystectomy.
• The surgery was completed in 208 minutes with 100mL estimated blood loss, and the patient was discharged within 48 hours without complications.

Findings:

• Pathology revealed a benign renomedullary tumor of interstitial cells and chronic cholecystitis.
• This represents the first reported RASS-RN with cholecystectomy in Latin America.
• The procedure was technically successful and demonstrated good patient outcomes.

Implications:

• RASS-RN is a safe and feasible option for selected patients requiring complex or concomitant procedures.
• Further studies are warranted to evaluate the long-term outcomes and efficacy of single-port robotic techniques in urology.
• This case highlights the expanding application of advanced robotic surgery in diverse geographical regions.