Combined Robotic Colon and Liver Resection for Synchronous Colorectal Liver Metastasis: A Movement toward a New Gold Standard

Giovannetti, Andres; Sucandy, Iswanto; Dinallo, Anthony; Chudzinski, Allen; Ross, Sharona; Massarotti, Haane; Rosemurgy, Alexander S.

doi:10.1177/000313481908500803

Cited by 8 publications

(4 citation statements)

References 4 publications

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“…Of those recorded, there were 3 metastatic lesions in the right liver, 4 in the left liver, and 3 that involved both the right and left liver. [15][16][17][18][19][20][21][22]…”

Section: Demographicsmentioning

confidence: 99%

Simultaneous Robot Assisted Colon and Liver Resection for Metastatic Colon Cancer

McGuirk

Gachabayov

Rojas

et al. 2021

JSLS

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Introduction: Simultaneous robot assisted colon and liver resections are being performed more frequently at present due to the expanded adoption of the robotic platform for surgical management of metastatic colon cancer. However, this approach has not been studied in detail with only case series available in the literature. The aim of this systematic review was to evaluate the current body of evidence on the feasibility of performing simultaneous robotic colon and liver resections.Methods: A systematic review was performed through PubMed to identify relevant articles describing simultaneous colon and liver resections for metastatic colon cancer.Results: A total of 28 patients underwent simultaneous resections robotically with an average operative time of 420.3 minutes and average blood loss of 275.6 ml. Postoperative stay was 8.6 days on average with all cases achieving negative surgical margins.Conclusions: Robotic simultaneous resection of colorectal cancer with liver metastases is technically feasible and seems oncologically equivalent to open or laparoscopic surgery. Further studies are urgently needed to assess benefits of robotic surgery in the patient population.

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“…Of those recorded, there were 3 metastatic lesions in the right liver, 4 in the left liver, and 3 that involved both the right and left liver. [15][16][17][18][19][20][21][22]…”

Section: Demographicsmentioning

confidence: 99%

Simultaneous Robot Assisted Colon and Liver Resection for Metastatic Colon Cancer

McGuirk

Gachabayov

Rojas

et al. 2021

JSLS

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“…There has even been consideration of RT to polymetastatic cancer given promising results with local therapies for oligometastatic disease [10]. The use of local therapies stems in part from the increasing safety of surgery [11][12][13][14][15][16][17] and the ability for RT to be highly conformal with techniques such as Stereotactic Body Radiation Therapy (SBRT) [18][19][20][21]. SBRT is characterized by highly conformal radiation using high-resolution daily imaging (e.g., CT or MRI scan daily for patient setup prior to treatment) in a few fractions, typically 3 to 5, with high doses per fraction.…”

Section: Introductionmentioning

confidence: 99%

The Abscopal Effect: A Review of Pre-Clinical and Clinical Advances

Janopaul‐Naylor

Shen

Qian

et al. 2021

IJMS

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Radiotherapy has been used for more than a hundred years to cure or locally control tumors. Regression of tumors outside of the irradiated field was occasionally observed and is known as the abscopal effect. However, the occurrence of systemic anti-tumor effects was deemed too rare and unpredictable to be a therapeutic goal. Recent studies suggest that immunotherapy and radiation in combination may enhance the abscopal response. Increasing numbers of cases are being reported since the routine implementation of immune checkpoint inhibitors, showing that combined radiotherapy with immunotherapy has a synergistic effect on both local and distant (i.e., unirradiated) tumors. In this review, we summarize pre-clinical and clinical reports, with a specific focus on the mechanisms behind the immunostimulatory effects of radiation and how this is enhanced by immunotherapy.

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“…There were no conversions to laparotomy, with a single grade I complication, one grade II complications, and two grade III complications, including one anastomotic leak and two liver abscesses. Giovanetti et al [ 21 ] report an additional series of five patients undergoing robotic combined robotic and colorectal resection with complications of one ICU admission, one umbilical cellulitis, and one ileus, but no 30-day mortality. Similarly, Masetti et al [ 22 ] report a fully robotic ALPPS with simultaneous left colectomy for synchronous CRCLM.…”

Section: Combined Hepatic and Colorectal Resection For Synchronous Colorectal Liver Metastasesmentioning

confidence: 99%

Multivisceral Resection in Robotic Liver Surgery

Sullivan

Fong

2022

Cancers

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Minimally invasive surgery techniques are expanding in utilization in liver resections and now include robotic approaches. Robotic liver resection has been demonstrated to have several benefits, including surgeon ergonomics, wrist articulation, and 3D visualization. Similarly, for multivisceral liver resections, the use of minimally invasive techniques has evolved and expanded from laparoscopy to robotics. The aim of this article is to review the literature and describe multivisceral resections, including hepatectomy, using a robotic technique. We describe over 50 published cases of simultaneous robotic liver resection with colon or rectal resection. In addition, we describe several pancreatectomies performed with liver resection and one extra-abdominal pulmonary resection with liver resection. In total, these select reported cases at experienced centers demonstrate the safety of robotic multivisceral resection in liver surgery with acceptable morbidity and rare conversion to open surgery. As robotic technology advances and experience with robotic techniques grows, robotic multivisceral resection in liver surgery should continue to be investigated in future studies.

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Combined Robotic Colon and Liver Resection for Synchronous Colorectal Liver Metastasis: A Movement toward a New Gold Standard

Cited by 8 publications

References 4 publications

Simultaneous Robot Assisted Colon and Liver Resection for Metastatic Colon Cancer

Simultaneous Robot Assisted Colon and Liver Resection for Metastatic Colon Cancer

The Abscopal Effect: A Review of Pre-Clinical and Clinical Advances

Multivisceral Resection in Robotic Liver Surgery

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