Simultaneous robot-assisted surgery for rectal cancer and prostatic lesions

Abstract Robotic surgery has become prevalent in many departments all over the world because of its usefulness. It is used in many cases, as well as in gastrointestinal surgery, which treats the rectum as pelvic surgery, urology and gynecology. We experienced two cases of joint surgery, with urology as pelvic surgery. The patient underwent robot-assisted low anterior resection, combined prostate resection and ileostomy for prostate invasion of rectal cancer. He was discharged without any complications. Robotic surgery was considered to be useful in surgery to manipulate the same area. In addition, it was considered that smoother and safer surgical procedure could be possible by conducting preoperative meetings with the participating departments.

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Robotic surgery for rectal cancer at Binh Dan Hospital: The early results

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2019.1.5 ◽

2019 ◽

Vol 9 (1) ◽

Author(s):

Vĩnh Hưng Trần ◽

Keyword(s):

Rectal Cancer ◽

Robotic Surgery ◽

Anterior Resection ◽

Low Anterior Resection ◽

Da Vinci ◽

Case Series ◽

Da Vinci Surgical System ◽

Suspected Case ◽

Early Results ◽

Case Series Study

Tóm tắt Đặt vấn đề: Bệnh viện Bình Dân bắt đầu sử dụng robot trong phẫu thuật ung thư trực tràng từ tháng 11/2016. Mục tiêu của chúng tôi là tìm hiểu tính an toàn trong việc sử dụng robot để điều trị ung thư trực tràng. Phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu: 41 trường hợp ung thư trực tràng được phẫu thuật bằng robot da Vinci thế hệ Si tại Bệnh viện Bình Dân từ 11/2016 đến 07/2018. Kết quả: Tỉ lệ nam: nữ là 2,15. Tuổi trung bình là 62 tuổi (23-85). Phương pháp điều trị: 2 trường hợp cắt trước miệng nối cao, 22 trường hợp cắt trước miệng nối thấp, 6 trường hợp cắt trước miệng nối cực thấp, 10 trường hợp phẫu thuật Miles. Giai đoạn giải phẫu bệnh sau mổ: 2 trường hợp giai đoạn I (4,88%), 5 trường hợp giai đoạn IIA (12,2%), 24 trường hợp giai đoạn IIB (58,54%), 6 trường hợp giai đoạn IIIB (14,63%), 3 trường hợp giai đoạn IIIC (7,32%), 1 trường hợp giai đoạn IVA (2,44%). Thời gian phẫu thuật chung trung bình là 213,66 phút. Không có tai biến phẫu thuật. Sau phẫu thuật: có 6 trường hợp nhiễm trùng vết mổ, 1 trường hợp bí tiểu do u xơ tuyến tiền liệt, 1 trường hợp liệt ruột sau mổ kéo dài, 1 trường hợp nghi ngờ xì miệng nối được điều trị nội khoa. Thời gian nằm viện trung bình 8 ngày (6-16 ngày). Kết luận: Kết quả bước đầu cho thấy phẫu thuật robot trong điều trị ung thư trực tràng là an toàn và khả thi. Abstract Introduction: Binh Dan hospital started to implement the robotic surgery in treatment of colorectal cancer in November 2016. Our aim was to evaluate the effectiveness of robotic surgery in management of rectal cancer. Material and Methods: Prospective case series study: 41 rectal cancer cases were operated by robotic da Vinci Surgical System (Si version) from November 2016 to July 2018 at Binh Dan hospital. Results: Men/Women ratio:2.15. Average age: 62 yrs (23-85). Treatment procedures: 2 cases of anterior resection, 23 cases of low anterior resection, 6 cases of ultra-low anterior resection, 10 cases of abdomino - perineal resection. Post-operative pathology staging: stage I: 2 cases (4.88%), stage IIA: 5 cases (12.2%), stage IIB: 24 cases (58.54%), stage IIIB: 6 cases (14.63%), stage IIIC: 3 cases (7.32%), stage IVA: 1 case (2.44%). No per-operative complication was recorded. Post-operative complications recorded including 6 cases of surgical site infection, 1 case of urine retention, 1 case of ileus, 1 suspected case of leakage of anastomotic and treated by internal medicine. Average length of stay after the operation was 8 days (6-16). Conclusion: The implementation of robotic surgery in rectal cancer treatment is a safe and feasible procedure. Keyword: Rectal cancer; Robotic surgery

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Simultaneously Diagnosed and Successfully Treated Rectovaginal and Vesicovaginal Fistulae after Low Anterior Resection with Concomitant Resection of Female Genitalia

Case Reports in Gastroenterology ◽

10.1159/000455187 ◽

2017 ◽

Vol 11 (1) ◽

pp. 17-22 ◽

Cited By ~ 1

Author(s):

Chisato Takagi ◽

Hideo Baba ◽

Kazuo Yamafuji ◽

Atsunori Asami ◽

Kaoru Takeshima ◽

...

Keyword(s):

Rectal Cancer ◽

Anterior Resection ◽

Low Anterior Resection ◽

Vesicovaginal Fistula ◽

Vaginal Wall ◽

Contrast Enema ◽

Pelvic Surgery ◽

Fistula Tract ◽

Adequate Treatment ◽

Vesicovaginal Fistulae

Rectovaginal fistula (RVF) and vesicovaginal fistula (VVF) are infrequent but distressing complications after pelvic surgery. However, their adequate treatment is not well described. Here, we simultaneously encountered and successfully treated RVF and VVF after radical surgery for rectal cancer. A 70-year-old woman underwent low anterior resection (LAR) combined with resection of the uterus, the bilateral adnexa, and the upper side of the vagina, as well as diverted ileostomy for rectal cancer. A month after the surgery, she developed urinary incontinence and underwent medical treatment, but her symptoms did not improve. Evaluation with contrast enema before stoma closure revealed the presence of RVF and VVF. We repaired the VVF and RVF via transabdominal and transperineal approaches. After 6 months, ileostomy was closed and the patient had no recurrence of cancer and fistula. In LAR with hysterectomy and resection of the vaginal wall, there is a risk of RVF and VVF. The excision and closure of the fistula tract and omental flap can be effective to treat both fistulae.

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Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids

Surgical Case Reports ◽

10.1186/s40792-019-0715-5 ◽

2019 ◽

Vol 5 (1) ◽

Cited By ~ 1

Author(s):

Yoshiro Itatani ◽

Tomoaki Okada ◽

Kenji Kawada ◽

Koya Hida ◽

Nobu Oshima ◽

...

Keyword(s):

Rectal Cancer ◽

Tannic Acid ◽

Anterior Resection ◽

Low Anterior Resection ◽

Anal Verge ◽

Potassium Sulfate ◽

Robot Assisted ◽

Sclerosing Therapy ◽

Double Stapling ◽

Internal Hemorrhoids

Abstract Background Internal hemorrhoids are the most common anal diseases. Aluminum potassium sulfate and tannic acid (ALTA) injection is a new sclerosing therapy for the treatment of internal hemorrhoids. Although ALTA injection has been widely used, there are no previous reports of rectal cancer patients who underwent robot-assisted low anterior resection (Rob-LAR) after ALTA injection to treat internal hemorrhoids. Case presentation A 70-year-old man with rectal cancer was presented to our hospital. He had an ALTA injection 2 months before presentation at a clinic due to hematochezia with internal hemorrhoids. The rectal tumor was located 7 cm above the anal verge, and Rob-LAR with the da Vinci Xi system was performed. The patient had sclerosis on the stump of the anal side, which made it difficult to transect the rectum with linear staplers. This required multiple repeats of compression through the SmartClamp feedback. After anastomosis with the double-stapling technique, we constructed a diverting ileostomy. Conclusion Although ALTA injection is a promising strategy for internal hemorrhoids, rectal cancer should be excluded before the sclerosing therapy.

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Robotic Surgery in Gastrointestinal Surgery

Cyborg and Bionic Systems ◽

10.34133/2020/9724807 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Kenoki Ohuchida

Keyword(s):

Robotic Surgery ◽

Gastrointestinal Cancer ◽

Da Vinci ◽

Gastrointestinal Surgery ◽

Robotic Systems ◽

Robot Assisted ◽

Invasive Treatment ◽

Current State ◽

Surgical System ◽

Robot Assisted Surgery

Robotic surgery is expanding in the minimally invasive treatment of gastrointestinal cancer. In the field of gastrointestinal cancer, robotic surgery is performed using a robot-assisted surgery system. In this system, the robot does not operate automatically but is controlled by the surgeon. The surgery assistant robot currently used in clinical practice worldwide is the leader-follower type, including the da Vinci® Surgical System (Intuitive Surgical). This review describes the current state of robotic surgery in the treatment of gastrointestinal cancer and discusses the future development of robotic systems in gastrointestinal surgery.

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Robotic surgery for rectal cancer at Binh Dan Hospital: the early results

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2019.4.6 ◽

2019 ◽

Vol 9 (4) ◽

Author(s):

Vinh Hung Tran ◽

Keyword(s):

Rectal Cancer ◽

Robotic Surgery ◽

Anterior Resection ◽

Low Anterior Resection ◽

Case Series ◽

Da Vinci Surgical System ◽

Suspected Case ◽

Early Results ◽

Case Series Study ◽

Operative Complications

Abstract Introduction: Binh Dan hospital started to apply robotic in colorectal cancer surgery in November 2016. Our aim is to evaluate the safety of robotic surgery in management of rectal cancer. Material and Methods: Prospective case series study: 66 rectal cancer cases were operated by robotic da Vinci Surgical System (Si version) from November 2016 to July 2019 at Binh Dan hospital. Results: Men/Women ratio: 2,09. Average age: 61 yrs (23-85). Treatment: 8 cases of anterior resection, 35 cases of low anterior resection, 7 cases of ultra-low anterior resection, 16 cases of abdominal perineal resection. Post-operative pathology staging: stage I: 2 cases (3,03%), stage IIA: 9 cases (13,64%), stage IIB: 35 cases (53,03%), stage IIIB: 16 cases (24,24%), stage IIIC: 3 cases (4,55%), stage IVA: 1 case (1,51%). Intra-operative complications: one case of hemorrhage. Post-operative complications are : Surgical site infection in 12 cases, 1 case of urine retention, 1 case of ileus, 3 suspected case of anastomotic leak treatmented medially. Average length of stay after the operation is 9 days (6-16). Conclusion: The application of robotic surgery in rectal cancer is a safe and feasible procedure.

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