title: Robot-assisted laparoscopic combined nephroureterectomy and cystoprostatectomy: an initial report and review of the literature.
abstract: Patients presenting with invasive, high-grade, or recurrent bladder cancer and synchronous upper urinary tract malignancy may be considered for simultaneous nephroureterectomy and radical cystectomy. We present the first known reported case of robot-assisted laparoscopic combined nephroureterectomy and cystoprostatectomy, describing a 62-year-old man with recurrent T1 bladder cancer and concomitant upper urinary tract transitional cell carcinoma. Patient underwent robot-assisted laparoscopic combined nephroureterectomy and radical cystoprostatectomy with extended pelvic lymph node dissection and extracorporeal ileal conduit urinary diversion. Robotic surgery was completed successfully without need for conversion to open procedure. There were no operative or perioperative complications. Blood loss (200 ml) and hospital stay (7 days) were less than prior reported laparoscopic experience with combined surgery. Although indications may be rare, robotic nephroureterectomy with simultaneous radical cystoprostatectomy is a feasible and safe surgical option.
authors.affiliation: Division of Urology, Virginia Commonwealth University Health Systems, West Hospital, 7th Floor, 1200 E. Broad St., P.O. Box 980118, Richmond, VA, 23298-0118, USA. benabdallajo@vcu.edu.
authors.forename: Justin O
authors.initials: JO
authors.lastname: Benabdallah
authors.affiliation: Division of Urology, Virginia Commonwealth University Health Systems, West Hospital, 7th Floor, 1200 E. Broad St., P.O. Box 980118, Richmond, VA, 23298-0118, USA.|Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA.
authors.forename: Lance J
authors.initials: LJ
authors.lastname: Hampton
authors.affiliation: Division of Urology, Virginia Commonwealth University Health Systems, West Hospital, 7th Floor, 1200 E. Broad St., P.O. Box 980118, Richmond, VA, 23298-0118, USA.|Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA.
authors.forename: Georgi
authors.initials: G
authors.lastname: Guruli
authors.affiliation: Division of Urology, Virginia Commonwealth University Health Systems, West Hospital, 7th Floor, 1200 E. Broad St., P.O. Box 980118, Richmond, VA, 23298-0118, USA.|Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA.
authors.forename: B Mayer
authors.initials: BM
authors.lastname: Grob
keywords: Bladder cancer; Kidney cancer; Robotic surgery; Transitional cell carcinoma