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DaVinci SP-based simultaneous bilateral partial nephrectomy from the midline transperitoneal approach: a case report
Young Hwii Ko1, Jong Gyun Ha1, Jae Yoon Jang1
1Department of Urology, Yeungnam University College of Medicine, Daegu, Korea.
Journal of Yeungnam Medical Science
|January 10, 2024
Summary
This study introduces the DaVinci SP system for simultaneous bilateral partial nephrectomy, a novel single-port robotic surgery reducing incisions for kidney tumor removal. The procedure demonstrated safety and efficacy in its worldwide debut.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Conventional multiport robotic surgery for bilateral partial nephrectomy is established.
- The DaVinci SP system offers a potential innovation by reducing incisions.
Observation:
- A patient with bilateral small renal masses underwent simultaneous bilateral partial nephrectomy using the DaVinci SP system.
- The procedure utilized a single umbilical incision and a floating trocar technique.
- The patient was repositioned for contralateral surgery while maintaining trocars.
Findings:
- Total operation time was 260 minutes, console time 164 minutes, with warm ischemic times of 27 and 23 minutes for left and right kidneys, respectively.
- Estimated blood loss was 200 mL.
- Postoperative renal function remained stable, with no complications or recurrence observed at 90 days.
Implications:
- The DaVinci SP system presents a novel, single-port approach for bilateral partial nephrectomy.
- This technique may offer advantages over traditional multiport surgery by minimizing incisions.
- Further clinical studies are needed to fully elucidate the benefits of this approach.
