Evidence map›Paper›PMID 42021391›Full record

ArticleJournal of medical case reports2026

Combined robot-assisted simple prostatectomy and laparoscopic nephrectomy: a case series.

Narmina Khanmammadova, Bruce Gao, Johnny Wang, Dat Tien Nguyen, Daniel Jiang, Tuan Thanh Nguyen, Nick Hassas, Sohrab N Ali, Kristene Myklak, Mohammed Shahait and 1 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Narmina KhanmammadovaDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Bruce GaoDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Johnny WangDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Dat Tien NguyenDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Daniel JiangDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Tuan Thanh NguyenDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Nick HassasDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Sohrab N AliDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Kristene MyklakDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
Mohammed ShahaitDepartment of Urology, University of Califonia Irvine, Orange, CA, USA.
David I LeeDepartment of Urology, University of Califonia Irvine, Orange, CA, USA. dilee1@hs.uci.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe indications for robotic surgery in urology continue to expand with the evolution of surgical techniques and technologies. The feasibility of combined robotic/laparoscopic surgery for the treatment of synchronous upper and lower urinary tract malignancies has been previously described. However, to our knowledge, this is the first reported series of robotic-assisted simple prostatectomy (RASP) and robotic/laparoscopic nephrectomies performed in a single operative session. CASE PRESENTATION: Case 1 involves an 80-year-old non-Hispanic White man of European descent with a history of low-risk prostate cancer who presented with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH), and renal cell carcinoma (RCC). Robotic-assisted partial nephrectomy (RAPN) and RASP were performed sequentially, with modified port placements that allowed reuse of several trocar sites. Case 2 involves a 75-year-old North African man with a history of bilateral polycystic kidneys and stage IV chronic kidney disease who presented with LUTS due to BPH and unilateral RCC. This patient underwent RASP and conventional laparoscopic radical nephrectomy (LRN) in a single operative session. The total operative time was 221 min for Case 1 (94 min for RAPN and 77 min for RASP) and 255 min for Case 2 (104 min for LRN and 95 min for RASP). The estimated blood loss was 100 ml and 80 ml, respectively, with no transfusions required. Case 1 was discharged on post-operative day (POD) 1. Subsequent follow-up demonstrated alleviation of LUTS and no evidence of cancer recurrence. Case 2 was discharged on POD 3, with ongoing oncological surveillance.

conclusionsThese cases demonstrate that combined RAPN or LRN with RASP can be performed safely even in patients with significant comorbidities. The success of these cases can be attributed to meticulous preoperative planning and involvement of a multidisciplinary care team. When feasible, combined surgery may offer benefits such as decreased risks associated with anesthesia and shorter hospitalizations.

Indexed as

LaparoscopyNephrectomyProstatectomyProstatic HyperplasiaProstatic NeoplasmsRobotic Surgical ProceduresAgedAged, 80 and overCarcinoma, Renal CellHumansKidney NeoplasmsMaleOperative TimeTreatment OutcomeBenign prostatic hyperplasiaCase seriesLaparoscopicNephrectomyRenal cell carcinomaRobot-assisted simple prostatectomy

Identifiers

PMID42021391
PMCPMC13237883

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.