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Simultaneous robot-assisted nephroureterectomy and radical cystectomy
Shugo Yajima1, Yasukazu Nakanishi1, Rikuto Yasujima1
1National Cancer Center Hospital East Chiba Japan.
IJU Case Reports
|January 6, 2023
Summary
This study reports the first simultaneous robot-assisted radical nephroureterectomy and cystectomy in Japan for a patient with muscle-invasive bladder cancer and upper tract urothelial carcinoma. The procedure was successfully completed with no complications.
Area of Science:
- Urology
- Surgical Oncology
- Robotic Surgery
Background:
- Muscle-invasive bladder cancer (MIBC) and upper tract urothelial carcinoma (UTUC) can occur concurrently.
- Simultaneous surgical management of these conditions presents unique challenges.
Observation:
- A 59-year-old male patient diagnosed with right ureteral cancer and MIBC underwent simultaneous robot-assisted radical nephroureterectomy (RANU) and robot-assisted radical cystectomy (RARC).
- The surgical team utilized three shared ports for both procedures.
- Total operative time was 386 minutes with an estimated blood loss of 255 ml.
Findings:
- The patient was discharged on postoperative day 18 with no reported complications.
- This represents the first reported case of simultaneous RANU and RARC for MIBC with concomitant UTUC in Japan.
Implications:
- Simultaneous RANU and RARC is a feasible surgical option for select patients with concurrent MIBC and UTUC.
- This approach may offer benefits in terms of surgical efficiency and resource utilization.
- Further research is warranted to evaluate long-term outcomes and oncological control.
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