Single-port robotic retroperitoneoscopic nephroureterectomy: Technical approach and recommendations for patient selection

Single-port robotic retroperitoneoscopic nephroureterectomy: Technical approach and recommendations for patient selection

Blog Article

Introduction: The Da Vinci single port (SP) robotic system has emerged as a valuable platform for minimally invasive urologic surgery in the past decade.While adoption has been growing rapidly for procedures such as pyeloplasty, partial nephrectomy and radical/simple prostatectomy, its application to retroperitoneal nephroureterectomy has been less thoroughly explored.Here, we describe a retroperitoneoscopic approach to a simple nephroureterectomy using the Da Vinci SP robot and low anterior access.We focus on patient selection, advantages of regionalized SP surgery, and technical tips for operative efficiency and safety.Patient Case: Our patient is a 62-year-old female with recurrent urinary Hammock Parts tract infections, chronic right flank pain, severe right hydroureteronephrosis and renal atrophy secondary to a chronically obstructing ureteral stone.

Using a low anterior retroperitoneal SP approach, we were able to navigate complex hilar anatomy and perform a simple nephroureterectomy.The patient had no intraoperative complications and an excellent post-operative recovery.Discussion: Proper patient selection is crucial to the success of the retroperitoneal #8 LIGHT BLOND SP approach.The SP system is ideally suited for confined retroperitoneal spaces and smaller specimens, enabling efficient nephroureterectomy through a single incision with reduced patient morbidity.While the SP platform has some limitations, such as fewer available instruments and reduced retraction strength, its advantages in well-selected cases include easier and reproducible access to the renal anatomy, decreased operative time, reduced hospital stays, and improved recovery.

This case illustrates the potential for single-port retroperitoneal nephroureterectomy as a minimally invasive alternative to traditional multiport or transperitoneal approaches.