Robot-assisted low anterior resection for a rectal cancer patient with ileal conduit: A case report.

Journal: Asian journal of endoscopic surgery
PMID:

Abstract

Surgery for rectal cancer patients with an ileal conduit after total cystectomy is difficult because adhesions in the pelvis and around the ileal conduit are expected. In the present case, we performed robot-assisted low anterior resection of the rectum in a 69-year-old male patient with rectal cancer who underwent ileal conduit diversion after total cystectomy. In this procedure, the port was inserted into the left upper abdomen as a first step, and two additional ports were added on the left side. Low anterior resection was performed using two left hands to create more space in the abdominal cavity for the ileal conduit. We present this minimally invasive robotic procedure that is extremely useful for dissection of adhesions in a narrow pelvic cavity.

Authors

  • Daisuke Yamamoto
    Department of Electrical Engineering, Tokyo University of Science, Katsushika, Tokyo, Japan.
  • Masanori Kotake
    Department of Surgery, Koseiren Takaoka Hospital, Toyama, Japan.
  • Kenichi Ishibayashi
    Department of Surgery, Koseiren Takaoka Hospital, Takaoka, Japan.
  • Daisuke Fujimori
    Department of Surgery, Koseiren Takaoka Hospital, Takaoka, Japan.
  • Hiroshi Saito
    Department of Surgery, Koseiren Takaoka Hospital, Toyama, Japan.
  • Koichiro Sawada
    Department of Surgery, Koseiren Takaoka Hospital, Toyama, Japan.
  • Masahiro Oshima
    Department of Surgery, Koseiren Takaoka Hospital, Toyama, Japan.
  • Hironori Hayashi
    Division of Infectious Diseases, International Research Institute of Disaster Science, Tohoku University 2-1, Seiryo-machi, Aoba-ku Sendai Miyagi 980-8575 Japan hironori.hayashi.b1@tohoku.ac.jp.
  • Kaeko Oyama
    Department of Surgery, Koseiren Takaoka Hospital, Toyama, Japan.
  • Takuo Hara
    Department of Surgery, Koseiren Takaoka Hospital, Toyama, Japan.
  • Noriyuki Inaki
    Department of Gastrointestinal Surgery/Breast Surgery, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.