Objective:

Minimize morbidity in assisted laparoscopic robot nephrectomy with the extraction of the piece by natural orifices, as well as standardize the robotic laparoscopic assisted surgical technique with the extraction of the transvaginal piece in order to identify the pertinent steps and possible responses of this approach.

Metodology

It is a female patient of the fourth decade of life, multiparous, a history of recurrent urinary tract infection, secondary to right renal hypoplasia, documentation with the exclusion of renal function by renal gammagram, so it is presented as a technique surgical procedure, performing a transperitoneal approach with assisted laparoscopic robot.

Results:

Two robotic trocars and a trocar accessory were used in the bottom of the Douglas pouch, with an operation time of 45 minutes after the coupling, robot, patient, with transoperative bleeding quantified in 30 ml. The length of hospital stay was 2 days, with an average time of analgesic use of 5 days; in the post-operative period so that the patient has as a complication the presence of the urinary tract infection that treatment with antibiotic therapy, without other complications.

Conclusion:

The assisted laparoscopic robot approach with the use of natural origins for the extraction of the surgical piece, reduce the cost and morbidity and post-operative of the patients to this type of approach, likewise reduce the surgical time, the transoperative bleeding, the stay hospitalization and the use of analgesics.

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