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Simultaneous robotic right partial nephrectomy and right adrenalectomy

Epublication WebSurg.com, Feb 2013;13(02). URL: http://websurg.com/doi/vd01en3884

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Robot-assisted partial nephrectomy has become a safe procedure if standardized surgical steps are followed [1]. The same goes for robot-assisted adrenalectomy, with the robot offering the possibility to manage complex cases that are considered technically challenging for traditional laparoscopy [2]. A combined laparoscopic partial nephrectomy and an ipsilateral adrenalectomy have been described for upper pole renal tumors contiguously involving the adrenal gland [3]. In this video, we describe the surgical steps for a simultaneous robotic right partial nephrectomy and right adrenalectomy for two distinct renal and adrenal tumors. References: [1] Kaouk JH, Khalifeh A, Hillyer S, Haber GP, Stein RJ, Autorino R. Robot-assisted laparoscopic partial nephrectomy: step-by-step contemporary technique and surgical outcomes at a single high-volume institution. Eur Urol 2012;62:553-61. [2] D’Annibale A, Lucandri G, Monsellato I, De Angelis M, Pernazza G, Alfano G, Mazzocchi P, Pende V. Robotic adrenalectomy: technical aspects, early results and learning curve. Int J Med Robot 2012;8:483-90. [3] Ramani AP, Abreu SC, Desai MM, Steinberg AP, Ng C, Lin CH, Kaouk JH, Gill IS. Laparoscopic upper pole partial nephrectomy with concomitant en bloc adrenalectomy. Urology 2003;62:223-6.