Robotic synchronous treatment of colorectal cancer and liver metastasis: state of the art

Sammarco, Anita; de’Angelis, Nicola; Testini, Mario; Méméo, Riccardo

doi:10.20517/2574-1225.2019.33

Cited by 2 publications

(2 citation statements)

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“…The advantages of a synchronous minimally invasive CRC and liver resection are reduced blood loss, early mobility, lower rates of surgical site infections, shorter length of stay, and reduced time interruption of systemic therapy. These peri-operative and oncologic benefits can be combined with the advantages of robotic surgery, mainly three-dimensional augmented vision, the flexibility of wristed instruments, tremor suppression, and better access to the posterosuperior segment's lesions [8,9]. Robotic colorectal resection has become prevalent in the Western world, yet not many centers perform robotic liver resection, let alone synchronous robotic colorectal and liver surgery.…”

Section: Introductionmentioning

confidence: 99%

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A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience

Rudnicki

Pery

Shawki

et al. 2023

JCM

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Introduction: Synchronous robotic colorectal and liver resection for metastatic colorectal cancer (mCRC) is gaining popularity. This case series describes our initial institutional experience. Methods: A retrospective study of synchronous robotic colorectal and liver resections for metastatic colorectal cancer (March 2020 to December 2021). Results: Eight patients underwent synchronous robotic resections. The median age was 59 (45–72), and the median body mass index was 29 (20–33). Seven received neoadjuvant chemotherapy, and five rectal cancers received neoadjuvant radiotherapy. One patient had a low anterior resection with major hepatectomy, two had low anterior resection with minor hepatectomy, and one had abdominoperineal resection with major hepatectomy. One patient had a left colectomy with minor hepatectomy, and two had right colectomies with minor hepatectomy. We used five robotic 8/12 mm ports in all cases. Extraction incisions were Pfannenstiel in four patients, colostomy site in two patients, one perineal incision, and one supra-umbilical incision. The median estimated blood loss was 200 mL (25–500), and the median operative time was 448 min (374–576). There were no intra-operative complications or conversions. Five patients had the liver resection first, and two of six anastomoses were performed before the liver resection. The Median length of stay was 4 days (3–14). There were two post-operative complications, prolonged ileus and DVT, with a Clavien-Dindo complication grade of I and II, respectively. There were no readmissions or reoperations. All colorectal and liver resection margins were negative. Conclusions: Synchronous robotic colorectal and liver resection can be performed effectively utilizing one port configuration with acceptable short-term outcomes and quality of oncologic resection.

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Section: Introductionmentioning

confidence: 99%

“…Length of post-operative hospital stay (LOS)-days-median (range) 4(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) Post-operative complications-n (%) 2 hepatic lesions-cm-mean ± SD (range) 1.9 ± 1.3 (0.5-4.5) Post-operative mortality-n 0 Follow-up time-months-mean ± SD 29 ± 20 S.D.-Standard deviation cm-Centimeter…”

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confidence: 99%