Robotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review

Abstract Locally advanced colonic cancers requiring multivisceral en-bloc resections are typically undertaken in an open or laparoscopic approach. Here, we report a case of a complex robotic subtotal colectomy with en-bloc resection of the chest wall and left 10th to 12th ribs for management of a lo...

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Autores principales: Lesley-Ann Naik, Samuel Stefan, Christopher Ball, Jim Khan
Formato: article
Lenguaje:EN
Publicado: Shiraz University of Medical Sciences 2020
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Acceso en línea:https://doaj.org/article/629c21de46f346f39daf1b231888d650
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spelling oai:doaj.org-article:629c21de46f346f39daf1b231888d6502021-11-14T08:12:18ZRobotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review2783-243010.30476/acrr.2020.87288.1056https://doaj.org/article/629c21de46f346f39daf1b231888d6502020-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_46979_3090b90d9ce1222f8a0667b4923de8f0.pdfhttps://doaj.org/toc/2783-2430Abstract Locally advanced colonic cancers requiring multivisceral en-bloc resections are typically undertaken in an open or laparoscopic approach. Here, we report a case of a complex robotic subtotal colectomy with en-bloc resection of the chest wall and left 10th to 12th ribs for management of a locally advanced descending colon cancer and peritumoral abscess at our institution in June 2020. The procedure was augmented with intraoperative ultrasound scan-guided marking to delineate tumoural extent. Histologically, negative excision margins (R0) were achieved. We also undertook a brief review of relevant literature. There are very few publications on the multivisceral resections for advanced colonic cancer; this is the second reported case of robotic en-bloc colonic resection in English literature. A similar case report published in 2019 enforced the value of multidisciplinary team collaboration and the benefits of robotic over laparoscopic surgery in en-bloc resections. Considering improved short-term outcomes and comparable oncological safety granted by laparoscopic surgery, minimally-invasive surgery has a clear role in the surgical management of locally-advanced colorectal cancers. Key words: en-bloc resection, multivisceral resection, colonic cancer, robotic surgery, subtotal colectomy, peritumoural abscessLesley-Ann NaikSamuel StefanChristopher BallJim KhanShiraz University of Medical Sciencesarticleen-bloc resectionmultivisceral resectioncolonic cancerrobotic surgerysubtotal colectomyperitumoural abscessMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 3, Pp 152-155 (2020)
institution DOAJ
collection DOAJ
language EN
topic en-bloc resection
multivisceral resection
colonic cancer
robotic surgery
subtotal colectomy
peritumoural abscess
Medicine
R
spellingShingle en-bloc resection
multivisceral resection
colonic cancer
robotic surgery
subtotal colectomy
peritumoural abscess
Medicine
R
Lesley-Ann Naik
Samuel Stefan
Christopher Ball
Jim Khan
Robotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review
description Abstract Locally advanced colonic cancers requiring multivisceral en-bloc resections are typically undertaken in an open or laparoscopic approach. Here, we report a case of a complex robotic subtotal colectomy with en-bloc resection of the chest wall and left 10th to 12th ribs for management of a locally advanced descending colon cancer and peritumoral abscess at our institution in June 2020. The procedure was augmented with intraoperative ultrasound scan-guided marking to delineate tumoural extent. Histologically, negative excision margins (R0) were achieved. We also undertook a brief review of relevant literature. There are very few publications on the multivisceral resections for advanced colonic cancer; this is the second reported case of robotic en-bloc colonic resection in English literature. A similar case report published in 2019 enforced the value of multidisciplinary team collaboration and the benefits of robotic over laparoscopic surgery in en-bloc resections. Considering improved short-term outcomes and comparable oncological safety granted by laparoscopic surgery, minimally-invasive surgery has a clear role in the surgical management of locally-advanced colorectal cancers. Key words: en-bloc resection, multivisceral resection, colonic cancer, robotic surgery, subtotal colectomy, peritumoural abscess
format article
author Lesley-Ann Naik
Samuel Stefan
Christopher Ball
Jim Khan
author_facet Lesley-Ann Naik
Samuel Stefan
Christopher Ball
Jim Khan
author_sort Lesley-Ann Naik
title Robotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review
title_short Robotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review
title_full Robotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review
title_fullStr Robotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review
title_full_unstemmed Robotic Subtotal Colectomy with en-bloc Resection of the Left Chest wall for Locally Advanced Colonic Cancer: A Case Report and Literature Review
title_sort robotic subtotal colectomy with en-bloc resection of the left chest wall for locally advanced colonic cancer: a case report and literature review
publisher Shiraz University of Medical Sciences
publishDate 2020
url https://doaj.org/article/629c21de46f346f39daf1b231888d650
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