title: Simultaneous robot assisted laparoscopic radical nephroureterectomy; genital tract and paravaginal nerve sparing radical cystectomy; superextended lymph node dissection and intracorporeal Studer pouch reconstruction for bladder cancer: Robotic hat-trick.
abstract: The case of a simultaneous robotic radical nephroureterectomy, genital tract and paravaginal nerve-sparing robotic radical cystectomy, super-extended pelvic lymph node dissection and intracorporeal Studer pouch construction on a 57-year old female patient with muscle invasive bladder and distal ureteral tumors, along with a hydroureteronephrotic nonfunctioning right kidney is presented. The entire surgery was completed through a total of 8 ports in 9.5 hours. The patient was discharged home on postoperative day-6 and a JJ-stent attached to the urinary catheter was removed altogether on postoperative day-21. This complex surgery can be done safely robotically with excellent oncological outcomes and no surgical and wound complications in the short term.
authors.affiliation: Memorial Sisli Hospital, Department of Urology, Istanbul, Turkey.
authors.forename: Erdal
authors.initials: E
authors.lastname: Alkan
authors.affiliation: Yildirim Beyazit University, School of Medicine, Ankara Ataturk Training and Research Hospital, Department of Urology, Ankara, Turkey.
authors.forename: Abdullah Erdem
authors.initials: AE
authors.lastname: Canda
authors.affiliation: Memorial Sisli Hospital, Department of Urology, Istanbul, Turkey.
authors.forename: Mirac
authors.initials: M
authors.lastname: Turan
authors.affiliation: Memorial Sisli Hospital, Department of Urology, Istanbul, Turkey.
authors.forename: Mevlana Derya
authors.initials: MD
authors.lastname: Balbay
keywords: bladder cancer; genital tract preservation; intracorporeal Studer pouch; paravaginal nerve sparing; robotic nephroureterectomy; robotic radical cystectomy