Robot-assisted laparoscopic surgery with a fluorescent near-infrared ray ureteral catheter for a rectal cancer patient with pelvic kidney: A case report.

Journal: Asian journal of endoscopic surgery
PMID:

Abstract

An 85-year-old woman presented with a stomachache after a meal and was admitted to the previous clinic. Multi-detector computed tomography (CT) of the abdomen showed wall thickening in the rectum and right ectopic pelvic kidney. Colonoscopy revealed a mass at the rectum, and a biopsy showed adenocarcinoma. CT showed no lymphadenopathy or distant metastasis. Hartmann's procedure with fluorescent near-infrared ray ureteral catheters was used to avoid causing urinary injury. Robotic surgery was performed while checking the route of the ureter in near-infrared mode. The patient was discharged on postoperative day 14 without specific complications. This case appears to be the first of robot-assisted laparoscopic surgery for a rectal cancer patient with pelvic kidney.

Authors

  • Noboru Hasegawa
    Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
  • Hiroshi Takeyama
    Department of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan. htakeyama.gesurg@gmail.com.
  • Yozo Suzuki
  • Shingo Noura
  • Masakazu Ikenaga
  • Kazuki Odagiri
    Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
  • Yoshitomo Yanagimoto
    Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
  • Masafumi Yamashita
    Department of Gastroenterological Surgery, Minoh City Hospital, Kayano 5-7-1, Minoh, Osaka, 562-0014, Japan.
  • Junzo Shimizu
  • Tomono Kawase
    Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Japan.
  • Hiroshi Imamura
  • Takashi Iwazawa
  • Naohiro Tomita
    Department of Surgery, Toyonaka Municipal Hospital, Toyonaka, Osaka, Japan.
  • Keizo Dono