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Updated: Jan 26, 2026

Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Robot-assisted Partial Nephrectomy and Bilateral Pyelolithotomy in Ectopic Pelvic Kidneys
A Antonelli1, A Peroni1, M Furlan1
1Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy.
Robot-assisted surgery successfully treated a patient with ectopic pelvic kidneys, addressing both kidney stones and a rare renal tumor in a single procedure. This minimally invasive approach offers a safe solution for complex urological conditions.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Ectopic pelvic kidneys are a congenital anomaly often associated with urolithiasis.
- Renal cell carcinoma is rare in pelvic kidneys, making combined pathologies a surgical challenge.
Observation:
- A 44-year-old male presented with bilateral pelvic kidneys, symptomatic stones, and a renal mass.
- The patient underwent a single-stage robotic procedure for partial nephrectomy and bilateral pyelolithotomy.
Findings:
- The robotic surgery was completed in 190 minutes with 50 ml estimated blood loss and no complications.
- Histopathology confirmed a pT1a G2 clear cell renal cell carcinoma with negative margins; stones were calcium oxalate.
Implications:
- Robotic technology enables safe expansion of minimally invasive surgery for complex cases with multiple comorbidities.
- This approach demonstrates feasibility for treating simultaneous urological issues in ectopic pelvic kidneys.
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