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Vol. 39. Issue 1.
Pages 63-65 (January - February 2015)
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Vol. 39. Issue 1.
Pages 63-65 (January - February 2015)
Skill and talent
Trans-umbilical single-port radical nephrectomy with concomitant cholecystectomy
Colecistectomía y nefrectomía radical por puerto único umbilical en un mismo acto quirúrgico
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J.A. Campos Sañudoa,
Corresponding author
jose.antonio.campos.s@gmail.com

Corresponding author.
, F. Ruiz Izquierdoa, J.M. Gutierrez Cabezasb, J.M. Monge Mirallasa, A. Asensio Lahoza, A. Ingelmo Setienb
a Servicio de Urología, Hospital Sierrallana, Torrelavega, Cantabria, Spain
b Servicio de Cirugía General, Hospital Sierrallana, Torrelavega, Cantabria, Spain
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Abstract
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Abstract
Objectives

Occasionally, the development of laparoscopic procedures allows the performance of combined surgeries. Currently, some of these can be carried out by trans-umbilical single-port laparoscopy.

Materials and methods

We report a patient with renal tumor of 4.5cm and cholelithiasis who undergone to trans-umbilical single port-right radical nephrectomy with concomitant cholecystectomy. This is the first case reported in Spain that this combined procedure is performed using umbilical single port surgery.

Results

No complications (intra or postoperative) have been described in this case, achieving proper control of tumor pathology and an excellent cosmetic outcome.

Conclusion

In those cases in which multidisciplinary approach is required, surgery can be performed by trans-umbilical single-port laparoscopy as consequence of its reduced postoperative morbidity and better cosmetic results.

Keywords:
Cholecystectomy
Nephrectomy
Single-port surgery
Laparoendoscopic single site surgery
Resumen
Objetivos

La evolución de los procedimientos laparoscópicos hace que sea necesario en ocasiones, la realización de cirugías combinadas con otras especialidades. Actualmente, algunas de estas intervenciones se pueden realizar mediante cirugía por puerto único umbilical.

Material y métodos

Presentamos el caso de un paciente con tumoración renal de 4,5cm y colelitiasis al que realizamos colecistectomía y nefrectomía radical derecha por puerto único umbilical de manera concomitante. Este es el primer caso publicado en España en el que se realiza esta intervención combinada mediante cirugía de puerto único umbilical.

Resultados

Se realizó la cirugía sin complicaciones intraoperatorias ni postoperatorias, con un correcto control de la patología tumoral y un excelente resultado estético.

Conclusión

En las situaciones que sean necesarias realizar un abordaje multidisciplinar con otras especialidades quirúrgicas involucradas, estas se pueden realizar mediante cirugía por puerto único umbilical, con las ventajas de una menor morbilidad postoperatoria y un mejor resultado estético.

Palabras clave:
Colecistectomía
Nefrectomía
Puerto único
Laparoendoscopic single site surgery

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