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Updated: Jan 1, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

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Published on: May 19, 2022

Multiquadrant Combined Robotic Radical Prostatectomy And Left Partial Nephrectomy: A Combined procedure by A Single

R Valero¹, G Sawczyn¹, J Garisto¹

¹Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, EE. UU.

Actas Urologicas Espanolas

|December 23, 2019

Summary

This study demonstrates the feasibility of combining robotic radical prostatectomy and partial nephrectomy using a single-port approach. This minimally invasive technique offers potential benefits like faster recovery and improved cosmetic outcomes for selected patients.

Keywords:

Cirugía multicuadrante Combine procedure Nefrectomía parcial Partial nephrectomy Prostatectomía radical Puerto único Radical prostatectomy Robot SP®SP® robot Single-port

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Area of Science:

Urology
Minimally Invasive Surgery
Robotic Surgery

Background:

Robotic surgery offers advanced precision for complex procedures.
Single-port surgery aims to reduce invasiveness and improve patient outcomes.
Concomitant procedures can streamline treatment for multiple conditions.

Observation:

A 66-year-old male underwent a single-port robotic radical prostatectomy and left partial nephrectomy.
The procedure utilized the SP® da Vinci surgical system through a single supra-umbilical incision.
The patient had localized prostate cancer and an incidentally found renal mass.

Findings:

The combined surgery was completed successfully with a total operative time of 256 minutes.
Estimated blood loss was 250cc, with no transfusion required.
Pathology confirmed adenocarcinoma of the prostate (Gleason 7) and renal cell carcinoma; PSA was undetectable at two months post-op.

Implications:

Single-port robotic surgery facilitates combined procedures with potential for faster recovery and better cosmesis.
This approach may simplify surgical planning for multi-quadrant surgeries.
High-volume centers and experienced robotic surgeons are recommended for these complex combined procedures in selected patients.