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Feasibility of robotic assisted bladder sparing pelvic exenteration for locally advanced rectal cancer:A single institution case series
Feasibility of robotic assisted bladder sparing pelvic exenteration for locally advanced rectal cancer:A single institution case series
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摘要：
BACKGROUND Pelvic exenteration for locally advanced rectal cancer involving prostate has been performed via open surgery.Robotic pelvic exenteration offers benefits of better pelvic visualisation and dissection for bladder preserving prostatectomy with vesicourethral anastomosis,while achieving clear margins.AIM To determine the feasibility of robotic assisted bladder sparing pelvic exenteration.METHODS We describe robotic assisted pelvic exenteration in three cases of locally advanced rectal cancer involving prostate and seminal vesicles(SV).The da Vinci S robotic system was used.Robotic console was docked at left oblique position for abdominal phase and redocked to between the patient’s legs for pelvic phase.All three cases were performed fully robotically at Tan Tock Seng Hospital by colorectal and urological teams.RESULTS Case 1:67-year-old with low rectal tumour 3 cm from anal verge involving the prostate.He underwent neo-adjuvant chemoradiotherapy and robotic abdominoperineal resection with en-bloc prostatectomy.Case 2:66-year-old with low rectal tumour 3 cm from anal verge involving prostate and bilateral SV.He underwent neo-adjuvant chemoradiotherapy and robot assisted ultra-low anterior resection with coloanal anastomosis and en-bloc prostatectomy.Case 3:57-year-old with metachronous rectal tumour in the rectovesical pouch inseparable from the anterior mid rectum,prostate and bilateral SV.He underwent robot assisted ultra-low anterior resection with en-bloc prostatectomy.Bladder neck margin revealed cauterized tumour cells,and he underwent total cystectomy and ileal conduit creation.Histology revealed no residual tumour.All patients are currently disease free CONCLUSION Robot assisted bladder sparing pelvic exenteration can be safely performed in locally advanced rectal cancer with acceptable surgical outcome while preserving benefits of minimally invasive surgery.
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| 篇名 | Feasibility of robotic assisted bladder sparing pelvic exenteration for locally advanced rectal cancer:A single institution case series | ||
| 来源期刊 | 世界胃肠外科杂志:英文版(电子版) | 学科 | 医学 |
| 关键词 | RECTAL cancer Robot SURGERY PELVIC EXENTERATION ANTERIOR resection Prostatectomy Minimal invasive SURGERY | ||
| 年，卷（期） | 2020,（4） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 190-196 | |
| 页数 | 7页 | 分类号 | R735.37 |
| 字数 | 语种 | ||
| DOI | |||
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RECTAL
cancer
Robot
SURGERY
PELVIC
EXENTERATION
ANTERIOR
resection
Prostatectomy
Minimal
invasive
SURGERY
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世界胃肠外科杂志：英文版（电子版）
主办单位：
百世登出版集团有限公司
出版周期：
月刊
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1948-9366
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出版地：
北京市朝阳区东四环中路62号楼远洋国际中
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