Yonsei Med J.  2012 Jan;53(1):236-239. 10.3349/ymj.2012.53.1.236.

Initial Clinical Experience of Simultaneous Robot-Assisted Bilateral Partial Nephrectomy and Radical Prostatectomy

• Jung JH
• Arkoncel F
• Lee JW
• Oh CK
• Yusoff NA
• Kim KJ
• Rha KH

• KMID: 1779714
• DOI: http://doi.org/10.3349/ymj.2012.53.1.236

Abstract

A 62-year-old male patient with prostate cancer and bilateral renal cell carcinoma underwent a simultaneous robot-assisted bilateral partial nephrectomy and radical prostatectomy. We describe our initial experience of combined operation with a port strategy allowing reuse of ports and surgical considerations because of prolonged pneumoperitoneum.

Keyword

Robot; prostatectomy; prostate adenocarcinoma; nephrectomy; renal cell carcinoma

MeSH Terms

Adenocarcinoma/*surgery
Carcinoma, Renal Cell/*surgery
Humans
Kidney Neoplasms/*surgery
Male
Middle Aged
Neoplasms, Second Primary/surgery
Nephrectomy/instrumentation/*methods
Prostatectomy/instrumentation/*methods
Prostatic Neoplasms/*surgery
Robotics
Surgery, Computer-Assisted

Figure

• 

  Fig. 1 T2 axial MRI imaging show low signal intensity in both peripheral and transitional zone, extracapsular extension and seminal vesicle invasion (arrow).

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  Fig. 2 Axial computed tomography (A) right lower pole enhancing solid renal mass (B) left upper pole enhancing solid renal mass.

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  Fig. 3 Schematic port placements during prostatectomy (circles) and additional nephrectomy port (square). 4 ports reused as a camera, robotic and assistant port for liver traction during robot-assisted laparoscopic partial nephrectomy (solid circles).

Reference

1. Su LM. Robot-assisted radical prostatectomy: advances since 2005. Curr Opin Urol. 2010. 20:130–135.

2. Benway BM, Bhayani SB. Robot-assisted partial nephrectomy: evolution and recent advances. Curr Opin Urol. 2010. 20:119–124.

3. Finley DS, Melamud O, Ornstein DK. Combined robot-assisted laparoscopic nephroureterectomy and radical prostatectomy. J Endourol. 2007. 21:411–414.

4. Patel MN, Eun D, Menon M, Rogers CG. Combined robotic-assisted laparoscopic partial nephrectomy and radical prostatectomy. JSLS. 2009. 13:229–232.

5. Boncher N, Vricella G, Greene G, Madi R. Concurrent robotic renal and prostatic surgery: initial case series and safety data of a new surgical technique. J Endourol. 2010. 24:1625–1629.

6. Rha KH. Robot-assisted laparoscopic radical prostatectomy. Korean J Urol. 2009. 50:97–104.

7. Jeong W, Park SY, Lorenzo EI, Oh CK, Han WK, Rha KH. Laparoscopic partial nephrectomy versus robot-assisted laparoscopic partial nephrectomy. J Endourol. 2009. 23:1457–1460.

8. Patel MN, Bhandari M, Menon M, Rogers CG. Robotic-assisted partial nephrectomy. BJU Int. 2009. 103:1296–1311.

9. Nechiporenko NA, Iutsevich GV, Nechiporenko AN. [Simultaneous operations for combined surgical diseases in urological practice]. Urologiia. 2006. 27–31.

10. Meininger D, Westphal K, Bremerich DH, Runkel H, Probst M, Zwissler B, et al. Effects of posture and prolonged pneumoperitoneum on hemodynamic parameters during laparoscopy. World J Surg. 2008. 32:1400–1405.

11. Lane BR, Babineau DC, Poggio ED, Weight CJ, Larson BT, Gill IS, et al. Factors predicting renal functional outcome after partial nephrectomy. J Urol. 2008. 180:2363–2368.

12. Reisiger K, Tran V, Figenshau RS, Andriole GL, Landman J. Single-setting bilateral laparoscopic renal surgery: assessment of single-stage procedure. Urology. 2005. 65:892–897.

13. Shikanov S, Lifshitz D, Chan AA, Okhunov Z, Ordonez MA, Wheat JC, et al. Impact of ischemia on renal function after laparoscopic partial nephrectomy: a multicenter study. J Urol. 2010. 183:1714–1718.

14. Patel MN, Krane LS, Bhandari A, Laungani RG, Shrivastava A, Siddiqui SA, et al. Robotic partial nephrectomy for renal tumors larger than 4cm. Eur Urol. 2010. 57:310–316.

15. Boorjian SA, Blute ML. Surgical management of high risk prostate cancer: the Mayo Clinic experience. Urol Oncol. 2008. 26:530–532.