Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report
Abstract Background Recently, robotic surgery has become more common as a minimally invasive treatment for gastric cancer (GC) and rectal cancer (RC). Herein, we report successful simultaneous robotic gastrectomy and low anterior resection in a patient with advanced GC and RC. Case presentation A 76...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2020-07-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00911-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849409844414513152 |
|---|---|
| author | Sachiko Kaida Toru Miyake Tomoharu Shimizu Katsushi Takebayashi Tsuyoshi Yamaguchi Ken Ishikawa Masaji Tani |
| author_facet | Sachiko Kaida Toru Miyake Tomoharu Shimizu Katsushi Takebayashi Tsuyoshi Yamaguchi Ken Ishikawa Masaji Tani |
| author_sort | Sachiko Kaida |
| collection | DOAJ |
| description | Abstract Background Recently, robotic surgery has become more common as a minimally invasive treatment for gastric cancer (GC) and rectal cancer (RC). Herein, we report successful simultaneous robotic gastrectomy and low anterior resection in a patient with advanced GC and RC. Case presentation A 76-year-old woman who presented with bloody stool was found to have advanced GC with lymph node metastases and advanced RC. Simultaneous robotic distal gastrectomy with D2 lymph node dissection and Billroth I reconstruction and low anterior resection with D3 lymph node dissection were performed. Preoperatively, multidisciplinary medical staff discussed the case in detail and conducted a simulation with the robot, operating room, and patient. The total operative time was 648 min (console time, 520 min), and the estimated blood loss was small. The patient was discharged on postoperative day 10 without any adverse events. In this case, careful simulation of the patient cart setting and planning of the best port layout resulted in a successful surgical outcome despite this being our first simultaneous total robotic surgery for advanced GC and RC. Conclusions Simultaneous robotic surgery for advanced GC and RC may be technically feasible and could provide an option for future minimally invasive treatment. |
| format | Article |
| id | doaj-art-8b46f9c39e5a47a0b34ffb7ea9911b9e |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-07-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-8b46f9c39e5a47a0b34ffb7ea9911b9e2025-08-20T03:35:22ZengJapan Surgical SocietySurgical Case Reports2198-77932020-07-01611510.1186/s40792-020-00911-zExperience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case reportSachiko Kaida0Toru Miyake1Tomoharu Shimizu2Katsushi Takebayashi3Tsuyoshi Yamaguchi4Ken Ishikawa5Masaji Tani6Department of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceMedical Safety Section, Shiga University of Medical Science HospitalDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceAbstract Background Recently, robotic surgery has become more common as a minimally invasive treatment for gastric cancer (GC) and rectal cancer (RC). Herein, we report successful simultaneous robotic gastrectomy and low anterior resection in a patient with advanced GC and RC. Case presentation A 76-year-old woman who presented with bloody stool was found to have advanced GC with lymph node metastases and advanced RC. Simultaneous robotic distal gastrectomy with D2 lymph node dissection and Billroth I reconstruction and low anterior resection with D3 lymph node dissection were performed. Preoperatively, multidisciplinary medical staff discussed the case in detail and conducted a simulation with the robot, operating room, and patient. The total operative time was 648 min (console time, 520 min), and the estimated blood loss was small. The patient was discharged on postoperative day 10 without any adverse events. In this case, careful simulation of the patient cart setting and planning of the best port layout resulted in a successful surgical outcome despite this being our first simultaneous total robotic surgery for advanced GC and RC. Conclusions Simultaneous robotic surgery for advanced GC and RC may be technically feasible and could provide an option for future minimally invasive treatment.http://link.springer.com/article/10.1186/s40792-020-00911-zGastrointestinal surgeryRobotic surgerySimultaneous resection |
| spellingShingle | Sachiko Kaida Toru Miyake Tomoharu Shimizu Katsushi Takebayashi Tsuyoshi Yamaguchi Ken Ishikawa Masaji Tani Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report Surgical Case Reports Gastrointestinal surgery Robotic surgery Simultaneous resection |
| title | Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report |
| title_full | Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report |
| title_fullStr | Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report |
| title_full_unstemmed | Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report |
| title_short | Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report |
| title_sort | experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers a case report |
| topic | Gastrointestinal surgery Robotic surgery Simultaneous resection |
| url | http://link.springer.com/article/10.1186/s40792-020-00911-z |
| work_keys_str_mv | AT sachikokaida experienceandtechniqueofsimultaneousroboticresectionforsynchronousadvancedgastricandrectalcancersacasereport AT torumiyake experienceandtechniqueofsimultaneousroboticresectionforsynchronousadvancedgastricandrectalcancersacasereport AT tomoharushimizu experienceandtechniqueofsimultaneousroboticresectionforsynchronousadvancedgastricandrectalcancersacasereport AT katsushitakebayashi experienceandtechniqueofsimultaneousroboticresectionforsynchronousadvancedgastricandrectalcancersacasereport AT tsuyoshiyamaguchi experienceandtechniqueofsimultaneousroboticresectionforsynchronousadvancedgastricandrectalcancersacasereport AT kenishikawa experienceandtechniqueofsimultaneousroboticresectionforsynchronousadvancedgastricandrectalcancersacasereport AT masajitani experienceandtechniqueofsimultaneousroboticresectionforsynchronousadvancedgastricandrectalcancersacasereport |