title: Trans-umbilical single-port radical nephrectomy with concomitant cholecystectomy.
abstract: OBJECTIVE
  Occasionally, the development of laparoscopic procedures allows the performance of combined surgeries. Currently, some of these can be carried out by trans-umbilical single-port laparoscopy.
  
  
  METHODS
  We report a patient with renal tumor of 4.5cm and cholelithiasis who undergone to trans-umbilical single port-right radical nephrectomy with concomitant cholecystectomy. This is the first case reported in Spain that this combined procedure is performed using umbilical single port surgery.
  
  
  RESULTS
  No complications (intra or postoperative) have been described in this case, achieving proper control of tumor pathology and an excellent cosmetic outcome.
  
  
  CONCLUSIONS
  In those cases in which multidisciplinary approach is required, surgery can be performed by trans-umbilical single-port laparoscopy as consequence of its reduced postoperative morbidity and better cosmetic results.
authors.affiliation: Servicio de Urología, Hospital Sierrallana, Torrelavega, Cantabria, España. Electronic address: jose.antonio.campos.s@gmail.com.
authors.forename: J A
authors.initials: JA
authors.lastname: Campos Sañudo
authors.affiliation: Servicio de Urología, Hospital Sierrallana, Torrelavega, Cantabria, España.
authors.forename: F
authors.initials: F
authors.lastname: Ruiz Izquierdo
authors.affiliation: Servicio de Cirugía General, Hospital Sierrallana, Torrelavega, Cantabria, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Gutierrez Cabezas
authors.affiliation: Servicio de Urología, Hospital Sierrallana, Torrelavega, Cantabria, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Monge Mirallas
authors.affiliation: Servicio de Urología, Hospital Sierrallana, Torrelavega, Cantabria, España.
authors.forename: A
authors.initials: A
authors.lastname: Asensio Lahoz
authors.affiliation: Servicio de Cirugía General, Hospital Sierrallana, Torrelavega, Cantabria, España.
authors.forename: A
authors.initials: A
authors.lastname: Ingelmo Setien
mesh_terms: D002763:Cholecystectomy / Q000379:methods*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D014472:Umbilicus
keywords: Cholecystectomy; Colecistectomía; Laparoendoscopic single site surgery; Nefrectomía; Nephrectomy; Puerto único; Single-port surgery