Nowadays robotic platform is widespread in general surgery, urology and gynecology. Combined surgery may represent an alternative to sequential procedures and it allow the treatment, at the same time, of coexisting lesions; in this perspective, full-robotic multiorgan surgery is starting to gain interest from surgeons worldwide.
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.
No intraoperative complications were registered and postoperative course was uneventful in both cases.
Combined multiple organ surgery with full robotic technique is safe and offers oncological adequate results. A multiteam 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.
The international journal of medical robotics + computer assisted surgery : MRCAS. 2020 May 27 [Epub ahead of print]
Micaela Piccoli, Francesca Pecchini, Sofia Esposito, Chiara Sighinolfi, Davide Gozzo, Vincenzo Trapani, Cosimo De Carne, Bernardo Rocco
Department of General, Emergency Surgery and New Technologies, Baggiovara General Hospital, Modena, Italy., Department of Urology, Baggiovara General Hospital, University of Modena and Reggio Emilia, Modena, Italy.