Professor Lee Sang-wook of Soonchunhyang University Bucheon Hospital succeeded in simultaneous treatment of kidney and prostate cancer with robotic surgery

Sep 10, 2024

Lee Sang-wook, a professor of urology at Soonchunhyang University Bucheon Hospital, announced on the 10th that he succeeded in simultaneously operating kidney and prostate cancer in a male patient in his 60s using the Da Vinci Xi robotic surgery machine.

When cancer develops in both organs, the same type of cancer often spreads, but Cho (65, male), who underwent surgery, developed different types of cancer in his kidneys and prostate. In this case, separate surgery is usually required, but Professor Lee Sang-wook decided to perform simultaneous robotic surgery to reduce the burden on the patient. Professor Lee completely eliminated both cancers at the same time in just three hours, and succeeded in preserving kidney function and urethral sphincter as much as possible.

The difficulty of surgery was very high as different surgical methods had to be applied at the same time. In particular, when removing kidney cancer, there was a risk of hypoxic renal injury because the renal artery had to be blocked for a while, and rapid and precise surgery was important because urethral sphincters should be preserved as much as possible during prostate cancer surgery.



Professor Lee first clearly identified the location and size of kidney cancer and the boundary between normal cells and tumors using robotic ultrasound, and then performed a partial kidney resection to shorten the operation time and minimize nerve damage and bleeding. Then, when removing prostate cancer, the joint function of the robot's hand is used to make the most of the urethral sphincter and surgery is performed to significantly reduce the probability of complications such as urinary incontinence.

Robotic surgery can be viewed in three dimensions by expanding the surgical site up to 15 times, and fine and sophisticated surgery is possible even in a narrow space through the joint and handshake correction function of the robot hand that can rotate 360 degrees. As a result, there are few bleeding and complications, recovery is quick, and surgical scars are small, so they are also excellent cosmetically. In addition, the possibility of infection through wounds in the future is reduced.



Professor Lee Sang-wook "One anesthesia significantly reduced the surgical and anesthetic burden of patients by operating both tumors simultaneously. Through robotic surgery, only the tumor area was accurately resected, and the patient recovered without complications. Robotic surgery is an optimized surgical method for kidney and prostate cancer surgery, and we hope that this success story will be a good treatment alternative for high-risk patients who are burdened by conventional surgical methods."

Meanwhile, Professor Lee Sang-wook succeeded in various high-level robotic surgeries, such as simultaneously treating kidney cancer and ureter cancer in an 84-year-old female patient in 2022 and simultaneously removing bilateral kidney cancer in a 74-year-old male patient last year. As of the end of August this year, a total of more than 900 robotic surgeries have been performed.



Professor Lee Sang-wook of Soonchunhyang University Bucheon Hospital succeeded in simultaneous treatment of kidney and prostate cancer with robotic surgery
Lee Sang-wook, professor of urology at Soonchunhyang University Bucheon Hospital





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