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Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report

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-o...

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Autores principales: Kaida, Sachiko, Miyake, Toru, Shimizu, Tomoharu, Takebayashi, Katsushi, Yamaguchi, Tsuyoshi, Ishikawa, Ken, Tani, Masaji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7351926/
https://www.ncbi.nlm.nih.gov/pubmed/32651836
http://dx.doi.org/10.1186/s40792-020-00911-z
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author Kaida, Sachiko
Miyake, Toru
Shimizu, Tomoharu
Takebayashi, Katsushi
Yamaguchi, Tsuyoshi
Ishikawa, Ken
Tani, Masaji
author_facet Kaida, Sachiko
Miyake, Toru
Shimizu, Tomoharu
Takebayashi, Katsushi
Yamaguchi, Tsuyoshi
Ishikawa, Ken
Tani, Masaji
author_sort Kaida, Sachiko
collection PubMed
description 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.
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spelling pubmed-73519262020-07-14 Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report Kaida, Sachiko Miyake, Toru Shimizu, Tomoharu Takebayashi, Katsushi Yamaguchi, Tsuyoshi Ishikawa, Ken Tani, Masaji Surg Case Rep Case Report 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. Springer Berlin Heidelberg 2020-07-10 /pmc/articles/PMC7351926/ /pubmed/32651836 http://dx.doi.org/10.1186/s40792-020-00911-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Kaida, Sachiko
Miyake, Toru
Shimizu, Tomoharu
Takebayashi, Katsushi
Yamaguchi, Tsuyoshi
Ishikawa, Ken
Tani, Masaji
Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7351926/
https://www.ncbi.nlm.nih.gov/pubmed/32651836
http://dx.doi.org/10.1186/s40792-020-00911-z
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