First cases of combined full robotic partial nephrectomy and colorectal resections: Results and new perspectives

Abstract

Background: Nowadays the robotic platform is widespread in general surgery, urology, and gynecology. Combined surgery may represent an alternative to sequential procedures and it allows the treatment, at the same time, of coexisting lesions; in this perspective, full-robotic multiorgan surgery is starting to gain interest from surgeons worldwide. Methods: Between April and June 2019, two patients presenting with synchronous colorectal and kidney cancers underwent, respectively, full-robotic right colectomy with right partial nephrectomy and anterior rectal resection with left partial nephrectomy. Surgeries were performed by both the general surgery and urology team. Results: No intraoperative complications were registered and the postoperative course was uneventful in both cases. Conclusions: Combined multiple organ surgery with full robotic technique is safe and offers oncological adequate results. A multi-team surgical pre-planning is mandatory to reduce invasiveness and operative time. To the best of our knowledge, these are the first reports of full robotic partial nephrectomy combined with colorectal procedures.

Simultaneous total robotic right hemicolectomy and right partial nephrectomy

“…Regarding surgical safety, adhesions in the operative field may become a problem in multiple surgeries, but their effect can be ignored in simultaneous surgeries. In particular, when the two operations share the same surgical procedure, the advantage of simultaneous surgery seems to be great [ 8 ]. In this case, the gastroenterologists performed the right hemicolon mobilization first so that a comfortable operative field was secured when the urologists performed the partial nephrectomy.…”