Combined laparoscopic abdominoperineal resection and robotic‐assisted prostatectomy for synchronous double cancer of the rectum and the prostate

Here we report a combined laparoscopic abdominoperineal resection and robotic‐assisted prostatectomy. A 74‐year‐old man was diagnosed with T4b low rectal and prostate cancer. The operation was performed after neoadjuvant chemotherapy for the rectal cancer. The procedure used eight ports in total, fi...

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Veröffentlicht in:Asian journal of endoscopic surgery 2016-05, Vol.9 (2), p.142-145
Hauptverfasser: Kamiyama, Hirohiko, Sakamoto, Kazuhiro, China, Toshiyuki, Aoki, Jun, Niwa, Koichiro, Ishiyama, Shun, Takahashi, Makoto, Kojima, Yutaka, Goto, Michitoshi, Tomiki, Yuichi, Horie, Shigeo
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container_end_page 145
container_issue 2
container_start_page 142
container_title Asian journal of endoscopic surgery
container_volume 9
creator Kamiyama, Hirohiko
Sakamoto, Kazuhiro
China, Toshiyuki
Aoki, Jun
Niwa, Koichiro
Ishiyama, Shun
Takahashi, Makoto
Kojima, Yutaka
Goto, Michitoshi
Tomiki, Yuichi
Horie, Shigeo
description Here we report a combined laparoscopic abdominoperineal resection and robotic‐assisted prostatectomy. A 74‐year‐old man was diagnosed with T4b low rectal and prostate cancer. The operation was performed after neoadjuvant chemotherapy for the rectal cancer. The procedure used eight ports in total, five for laparoscopic abdominoperineal resection and six for robotic‐assisted prostatectomy. First, laparoscopic total mesorectal excision including division of the inferior mesenteric artery was performed, and then, robotic dissection of the prostate was performed. The en bloc specimen was removed through the perineal wound. Then, robotic urethrovesical anastomosis was performed. An extraperitoneal end colostomy was created to finish the operation. The operating time was 545 min, and blood loss was 170 mL. The postoperative course was uneventful, and the patient discharged on postoperative day 17. The combined laparoscopic abdominoperineal resection and robotic‐assisted prostatectomy were performed safely without any additional technical difficulty, as both procedures shared port settings and patient positions.
doi_str_mv 10.1111/ases.12265
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A 74‐year‐old man was diagnosed with T4b low rectal and prostate cancer. The operation was performed after neoadjuvant chemotherapy for the rectal cancer. The procedure used eight ports in total, five for laparoscopic abdominoperineal resection and six for robotic‐assisted prostatectomy. First, laparoscopic total mesorectal excision including division of the inferior mesenteric artery was performed, and then, robotic dissection of the prostate was performed. The en bloc specimen was removed through the perineal wound. Then, robotic urethrovesical anastomosis was performed. An extraperitoneal end colostomy was created to finish the operation. The operating time was 545 min, and blood loss was 170 mL. The postoperative course was uneventful, and the patient discharged on postoperative day 17. 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subjects Aged
Cancer
Humans
Laparoscopic abdominoperineal resection
Laparoscopy
Male
minimally invasive surgery
Neoplasms, Multiple Primary - surgery
Prostatectomy
Prostatic Neoplasms - surgery
Rectal Neoplasms - surgery
Robotic Surgical Procedures
Robotics
robotic‐assisted prostatectomy
title Combined laparoscopic abdominoperineal resection and robotic‐assisted prostatectomy for synchronous double cancer of the rectum and the prostate
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