Multivisceral combined robot-assisted surgery: Single docking partial nephrectomy and cholecystectomy

Abstract

We present a case of robot-assisted combined partial nephrectomy and robot-assisted cholecystectomy in a 71-year-old male patient diagnosed with a lower solid renal mass, identified during a regular oncological follow-up for non-Hodgkin’s lymphoma, and suffering of chronic cholecystitis due to a concomitant gall bladder stone. We performed both procedures during a single operative session, using a modified trocar configuration with Da Vinci-Xi Robotic Surgical System (Intuitive Surgical, Sunnyvale, California) Platform that allowed the performance of both surgeries with a total blood loss of 100 ml and 187 min of surgical time. A single docking approach of the Xi Da Vinci System resulted in feasible and allowed a reduction of hospitalization costs improving intraoperative surgical timing with all the benefits of the robotic approach for both surgeries.