Robot-assisted one stage resection of rectal cancer liver metastasis and lung metastasis

Jianmin Xu, Ye Wei, Xiaoying Wang, Hong Fan, Wenju Chang. Zhongshan Hospital, Fudan University

Background The Da Vinci Site robotic surgery platform may help to overcome some of the difficulties of laparoscopy for complicated abdominal surgery. The authors of this article present a case of robotic-assisted one stage radical resection of three tumors, included robotic anterior resection for rectal cancer, segmental hepatectomy for liver metastasis and wedge shaped excision for lung metastasis using this device.

Methods A 59-year-old male with primary rectal cancer, liver metastasis and lung metastasis was operated on with a one stage radical resection approach using the Da Vinci Surgery device. Resection and anastomosis of rectal cancer were performed extra-corporeally after undocking the robot.

Results The procedure was successfully completed in 500 min. No surgical complications occurred during the intervention and the post-operative stay and no conversion to laparotomy or additional trocars were required.

Conclusions To the best of our knowledge, this is the first case of simultaneous resection for rectal cancer liver metastasis and lung metastasis using the Da Vinci Surgery platform to be reported. The procedure is feasible and safe and its main advantages for patient are avoiding repeated operation and reducing surgical trauma, shorten recovery time, and the early begin to implement postoperative adjuvant therapy.

Keywords robotic surgery; minimally invasive colorectal surgery; liver metastasis; lung metastasis; Da Vinci platform

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