Khalil Mahmoud, Cranwell Alexander, Ouyang John, Alam Zaheer, Joseph Jean
Department of Urology, University of Rochester Medical Center, Rochester, NY, USA.
Urol Case Rep. 2020 Dec 28;36:101550. doi: 10.1016/j.eucr.2020.101550. eCollection 2021 May.
A duplicated collecting system is a common congenital anomaly of the urinary tract. However, late symptomatic presentation in adulthood is uncommon. We report the first case of left heminephrectomy, ureterectomy and radical prostatectomy using the da Vinci SP (single port) surgical system in a 64-year-old patient with localized prostate cancer and duplicated system with ectopic ureteral insertion into the prostatic urethra. The procedure was completed without technical difficulties or intraoperative adverse events. We demonstrate that the da Vinci SP robot allows for efficient performance of concomitant surgeries on the kidney and prostate without the limitations reported with single site surgeries.
重复集合系统是一种常见的先天性泌尿系统异常。然而，在成年期出现晚期症状并不常见。我们报告了首例使用达芬奇SP（单孔）手术系统对一名64岁患有局限性前列腺癌且伴有重复系统（异位输尿管插入前列腺尿道）的患者进行左半肾切除术、输尿管切除术和根治性前列腺切除术的病例。手术过程顺利，无技术困难或术中不良事件。我们证明，达芬奇SP机器人能够高效地同时对肾脏和前列腺进行手术，而不存在单部位手术所报道的局限性。
