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Robotic single-port multiquadrant surgery to treat renal tumors and benign abdominal conditions.

Publication ,  Journal Article
Cubisino, A; Dreifuss, NH; Abern, MR; Baz, C; Bianco, FM
Published in: Minerva Surg
March 21, 2023

BACKGROUND: Multiquadrant procedures are technically more demanding than sequential operations. The new single port (SP) system allows to work in every abdominal quadrant maintaining an adequate triangulation without the need for changes in the port positioning. METHODS: In February 2020, two patients underwent a robotic SP partial nephrectomy for malignancy combined with a cholecystectomy and a left inguinal hernia repair respectively. RESULTS: Both procedures were successfully completed with one robotic docking and without the need for conversion. The operative time was 213 minutes for the right partial nephrectomy (126 min) with cholecystectomy (18 min), and 257 minutes for the left partial nephrectomy (161 min) with inguinal hernia repair (35 min). Estimated blood loss was 200 (150-250) mL, while the total warm ischemia time was 15 minutes for the right partial nephrectomy and 53 minutes for the left partial nephrectomy. There were no intraoperative complications or perioperative transfusions. The postoperative course was uneventful, and the postoperative hospital stay was 1 and 2 days. Both resections had free margins and the median tumor size was 2.5 (1.5-3.5) cm. Histopathology analysis revealed chronic cholecystitis and renal cell carcinomas with free margins and a median tumor size of 2.5 (1.5-3.5) cm. After a mean follow-up of 24 months, no surgical-related complications or recurrence were detected. CONCLUSIONS: The robotic SP approach facilitates the completion of combined surgical procedures in multiple abdominal quadrants through a single 25mm incision.

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Published In

Minerva Surg

DOI

EISSN

2724-5438

Publication Date

March 21, 2023

Location

Italy
 

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Cubisino, A., Dreifuss, N. H., Abern, M. R., Baz, C., & Bianco, F. M. (2023). Robotic single-port multiquadrant surgery to treat renal tumors and benign abdominal conditions. Minerva Surg. https://doi.org/10.23736/S2724-5691.23.09870-2
Cubisino, Antonio, Nicolas H. Dreifuss, Michael R. Abern, Carolina Baz, and Francesco M. Bianco. “Robotic single-port multiquadrant surgery to treat renal tumors and benign abdominal conditions.Minerva Surg, March 21, 2023. https://doi.org/10.23736/S2724-5691.23.09870-2.
Cubisino A, Dreifuss NH, Abern MR, Baz C, Bianco FM. Robotic single-port multiquadrant surgery to treat renal tumors and benign abdominal conditions. Minerva Surg. 2023 Mar 21;
Cubisino, Antonio, et al. “Robotic single-port multiquadrant surgery to treat renal tumors and benign abdominal conditions.Minerva Surg, Mar. 2023. Pubmed, doi:10.23736/S2724-5691.23.09870-2.
Cubisino A, Dreifuss NH, Abern MR, Baz C, Bianco FM. Robotic single-port multiquadrant surgery to treat renal tumors and benign abdominal conditions. Minerva Surg. 2023 Mar 21;

Published In

Minerva Surg

DOI

EISSN

2724-5438

Publication Date

March 21, 2023

Location

Italy