Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer: A case series

Imagami, Toru; Takayama, Seiji; Hattori, Taku; Matsui, Ryohei; Sakamoto, Masaki; Kani, Hisanori; Kurokawa, Syuhei; Fujiwara, Tsuyoshi

doi:10.1016/j.ijscr.2018.09.021

Cited by 9 publications

(12 citation statements)

References 14 publications

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“…Imagami et al retrospectively analyzed the surgical outcomes from a series of 3 cases of laparoscopic colorectal resection combined with robotic partial nephrectomy (n 1) or radical prostatectomy (n 2). They stated that the minimally invasive combined surgery was safe and feasible and allowed prompt initiation of adjuvant chemotherapy [17]. In our case, we used five ports confirming that for synchronous colorectal and urogenital tumor the sharing ports are possible also by robotic approach.…”

Section: Discussionsupporting

confidence: 68%

“…The advantage to treat two neoplasms at the same time is to avoid a delay treatment of second tumor, especially in younger patients [16] . Finally, a combined surgery reduces the time to start the post-operative adjuvant chemotherapy that is longer if two different procedures are performed separately [17]. Moreover, a second anesthetic procedure may be avoided, and discomfort of patients could be reduced [18].…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous totally robotic rectal resection and partial nephrectomy: case report and review of literature

et al. 2020

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Introduction: The incidence of synchronous RCC and colorectal cancer is heterogeneous ranging from 0.03 to 4.85%. Instead, only one case of huge colon carcinoma and renal angiomyolipoma was reported. The treatment of synchronous kidney and colorectal neoplasm is, preferably, synchronous resection. Currently, laparoscopic approach has shown to be feasible and safe, and it has become the gold standard of synchronous resection due to advantages of minimally invasive surgery. We presented a case synchronous renal neoplasm and colorectal cancer undergone simultaneous totally robotic renal enucleation and rectal resection with primary intracorporeal anastomosis. As our knowledge, this is the first case in literature of simultaneous robotic surgery for renal and colorectal tumor. Case presentation: A 53-year-old woman was affected by recto-sigmoid junction cancer and a solid 5 cm left renal mass. We performed a simultaneous robotic low anterior rectal resection and renal enucleation. Total operative time was 260 min with robotic time of 220 min; estimated blood loss was 150 ml; time to flatus was 72 h, and oral diet was administered 4 days after surgery. The patient was discharged on the eighth post-operative day without peri-and post-operative complication. The definitive histological examination showed a neuroendocrine tumor pT2N1 G2, with negative circumferential and distal resection margins. Renal tumor was angiomyolipoma. At 23 months follow-up, the patient is recurrence free.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Simultaneous totally robotic rectal resection and partial nephrectomy: case report and review of literature

et al. 2020

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“…With the spread of robotic surgery, there have also been reports on simultaneous surgery using robotic surgery and laparoscopic surgery, and their usefulness has been reported. On the other hand, the importance of the port arrangement at that time has also been reported [ 5–7 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, on the other hand, there have also been reports of RARP being performed first in cases where the robotic and laparoscopic procedures were performed concurrently. This is because the ureter was easily seen on the inner approach and dissection of the ventral aspect of the rectum was not necessary [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous robot-assisted surgery for rectal cancer and prostatic lesions

Kojima

Sakamoto

Horie

et al. 2020

Journal of Surgical Case Reports

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Robotic surgery has become prevalent in many departments all over the world because of its usefulness. It is used in many cases, as well as in gastrointestinal surgery, which treats the rectum as pelvic surgery, urology and gynecology. We experienced two cases of joint surgery, with urology as pelvic surgery. The patient underwent robot-assisted low anterior resection, combined prostate resection and ileostomy for prostate invasion of rectal cancer. He was discharged without any complications. Robotic surgery was considered to be useful in surgery to manipulate the same area. In addition, it was considered that smoother and safer surgical procedure could be possible by conducting preoperative meetings with the participating departments.

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“…In terms of technical feasibility and oncological safety, simultaneous laparoscopy combined with resection is the best option for patients with co-existing abdominal lesions [7]. We have previously reported about the advantages of combined laparoscopic and robotic resection for synchronous colorectal cancer and PCa [8]. Based on such experience, combined LTG and RARP were selected.…”

Section: Discussionmentioning

confidence: 99%

A case of synchronous advanced gastric cancer and locally advanced prostate cancer with combined laparoscopic and robotic surgery: A case report

Imagami

Takayama

Hattori

et al. 2019

International Journal of Surgery Case Reports

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Highlights The optimal management for synchronous advanced cancer remains controversial. Multidisciplinary treatment strategies are important for synchronous advanced cancer. Combined laparoscopic and robotic surgery allows minimally invasive resection. Simultaneous endoscopic surgery is recommended for synchronous advanced cancer.

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Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer: A case series

Cited by 9 publications

References 14 publications

Simultaneous totally robotic rectal resection and partial nephrectomy: case report and review of literature

Simultaneous totally robotic rectal resection and partial nephrectomy: case report and review of literature

Simultaneous robot-assisted surgery for rectal cancer and prostatic lesions

A case of synchronous advanced gastric cancer and locally advanced prostate cancer with combined laparoscopic and robotic surgery: A case report

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