First report: robotic pelvic exenteration for locally advanced rectal cancer

Shin, J. W., Kim, J., Kwak, J. M., Hara, M., Cheon, J., Kang, S. H., Kang, S. G., Stevenson, A. R. L., Coughlin, G. and Kim, S. H. (2014) First report: robotic pelvic exenteration for locally advanced rectal cancer. Colorectal Disease, 16 1: O9-O14. doi:10.1111/codi.12446


Author Shin, J. W.
Kim, J.
Kwak, J. M.
Hara, M.
Cheon, J.
Kang, S. H.
Kang, S. G.
Stevenson, A. R. L.
Coughlin, G.
Kim, S. H.
Title First report: robotic pelvic exenteration for locally advanced rectal cancer
Journal name Colorectal Disease   Check publisher's open access policy
ISSN 1462-8910
1463-1318
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/codi.12446
Open Access Status Not Open Access
Volume 16
Issue 1
Start page O9
End page O14
Total pages 6
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Aim
The aim of this study was to present the feasibility and surgical outcome of robotic en bloc resection of the rectum and with prostate and seminal vesicle invaded by rectal cancer.

Method

The details of three consecutive cases involving male patients in their forties, with locally invasive low rectal cancers are presented. The da Vinci robotic system was used by experienced colorectal and urological surgeons to perform en bloc resection of the rectum, prostate and seminal vesicles.

Results
In the first case, coloanal and vesico-urethral anastomoses were performed, and the second included an end colostomy and vesico-urethral anastomosis. The bladder and bulbar urethra were also removed en bloc in the third case, with robotic intracorporeal ileal conduit formation and end colostomy. There was no major complication postoperatively. In the second patient there was a minor leakage at the vesico-urethral anastomosis. The third was readmitted the following week with a urinary infection which settled with intravenous antibiotics. In the first case, the circumferential resection margin was microscopically positive but the patient is currently free of recurrence after 14 months. In the second and third cases, all margins were clear.

Conclusion

This the first report of the use of the da Vinci robotic system for pelvic exenteration in patients with locally advanced rectal cancer invading the prostate and seminal vesicles. The robot may have a potential role in selected patients requiring exenterative pelvic surgery particularly in men.
Keyword Pelvic exenteration
Rectal cancer
Robotic surgery
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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