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

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 colore...

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Autores principales: Rudnicki, Yaron, Pery, Ron, Shawki, Sherief, Warner, Susanne, Cleary, Sean Patrick, Behm, Kevin T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179539/
https://www.ncbi.nlm.nih.gov/pubmed/37176695
http://dx.doi.org/10.3390/jcm12093255
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author Rudnicki, Yaron
Pery, Ron
Shawki, Sherief
Warner, Susanne
Cleary, Sean Patrick
Behm, Kevin T.
author_facet Rudnicki, Yaron
Pery, Ron
Shawki, Sherief
Warner, Susanne
Cleary, Sean Patrick
Behm, Kevin T.
author_sort Rudnicki, Yaron
collection PubMed
description 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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spelling pubmed-101795392023-05-13 A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience Rudnicki, Yaron Pery, Ron Shawki, Sherief Warner, Susanne Cleary, Sean Patrick Behm, Kevin T. J Clin Med Article 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. MDPI 2023-05-02 /pmc/articles/PMC10179539/ /pubmed/37176695 http://dx.doi.org/10.3390/jcm12093255 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rudnicki, Yaron
Pery, Ron
Shawki, Sherief
Warner, Susanne
Cleary, Sean Patrick
Behm, Kevin T.
A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience
title A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience
title_full A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience
title_fullStr A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience
title_full_unstemmed A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience
title_short A Synchronous Robotic Resection of Colorectal Cancer and Liver Metastases—Our Initial Experience
title_sort synchronous robotic resection of colorectal cancer and liver metastases—our initial experience
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179539/
https://www.ncbi.nlm.nih.gov/pubmed/37176695
http://dx.doi.org/10.3390/jcm12093255
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