Simultaneous robotic hemicolectomy and robotic partial nephrectomy via a posterior approach

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Increasing incidence of synchronous cancers due to diagnostic advancements.
• Challenges in managing multiple malignancies simultaneously.
• Need for tailored surgical approaches for complex cases.

Purpose of the Study:

• To report a case of simultaneous robotic surgery for synchronous colon and kidney cancers.
• To describe a posterior approach for robotic partial nephrectomy in this context.
• To highlight adaptable surgical strategies for oncological principles.

Main Methods:

• A 72-year-old female patient with synchronous ascending colon and right kidney cancers.
• Simultaneous robotic right hemicolectomy and robotic right partial nephrectomy.
• Utilized a posterior approach with port placement similar to retroperitoneal techniques for renal tumor access.

Main Results:

• Successful completion of both robotic procedures in a single session.
• The posterior approach provided a confronting view of the posteriorly located renal tumor.
• Demonstrated feasibility of combined robotic surgery for synchronous abdominal malignancies.

Conclusions:

• Flexible adaptation of surgical position and port arrangement is crucial for oncological safety.
• Robotic surgery offers a viable option for managing synchronous cancers.
• The posterior approach can be effective for robotic partial nephrectomy in specific anatomical locations.