Total robotic surgery for pancreaticoduodenectomy combined with rectal cancer anterior resection: A case report and literature review.
|Abstract||Synchronous double malignancies, including carcinoma of the ampulla of Vater and rectal carcinoma, are generally uncommon occurrences in the gastrointestinal tract.|
Robotic transanal surgery for local excision of rectal neoplasia, transanal total mesorectal excision, and repair of complex fistulae: clinical experience with the first 18 cases at a single institution.
|Publication Year Start||2018-01-01|
PMID- 29742689 OWN - NLM STAT- MEDLINE DCOM- 20180515 LR - 20180515 IS - 1536-5964 (Electronic) IS - 0025-7974 (Linking) VI - 97 IP - 19 DP - 2018 May TI - Total robotic surgery for pancreaticoduodenectomy combined with rectal cancer anterior resection: A case report and literature review. PG - e0540 LID - 10.1097/MD.0000000000010540 [doi] AB - RATIONALE: Synchronous double malignancies, including carcinoma of the ampulla of Vater and rectal carcinoma, are generally uncommon occurrences in the gastrointestinal tract. PATIENT CONCERNS: The present study report a case of a 37-year-old man who was incidentally found to suffer from carcinoma of the ampulla of Vater and rectal carcinoma. DIAGNOSES: The duodenoscopy was performed and revealed an ulcerated and bulky ampulla of Vater, the biopsy from which revealed a moderate-differentiated adenocarcinoma, A local hospital colonoscopy confirmed a tumor located in rectal 7 cm from the anal margin and biopsy-confirmed poorly differentiated adenocarcinoma. INTERVENTIONS: About such patient treatment, both open and laparoscopic surgery are restricted because of operation complexity, large injury, and poor cosmetic effect. surgery performed using Da Vinci robotic surgical system (DVSS). OUTCOMES: No evidence of recurrence or relapses was found in the first year after surgery. LESSONS: Although sporadic double malignancies are uncommon, they should be considered when evaluating cancer patients. Complex surgery performed by robotic surgery may became surgeon's preferred treatment modality. FAU - Jiang, QunGuang AU - Jiang Q AD - The First Affiliated Hospital of NanChang University, Gastrointestinal Surgery, NanChang, China. FAU - Li, TaiYuan AU - Li T FAU - Liu, DongNing AU - Liu D FAU - Tang, Cheng AU - Tang C LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R SB - AIM SB - IM MH - *Adenocarcinoma/pathology/physiopathology/surgery MH - Adult MH - *Ampulla of Vater/pathology/surgery MH - Biopsy/methods MH - Colectomy/*methods MH - *Duodenal Neoplasms/pathology/physiopathology/surgery MH - Endoscopy, Gastrointestinal/methods MH - Humans MH - Male MH - Neoplasms, Multiple Primary/pathology/physiopathology/surgery MH - Pancreaticoduodenectomy/*methods MH - *Rectal Neoplasms/pathology/physiopathology/surgery MH - *Rectum/pathology/surgery MH - Robotic Surgical Procedures/*methods MH - Treatment Outcome EDAT- 2018/05/10 06:00 MHDA- 2018/05/16 06:00 CRDT- 2018/05/10 06:00 PHST- 2018/05/10 06:00 [entrez] PHST- 2018/05/10 06:00 [pubmed] PHST- 2018/05/16 06:00 [medline] AID - 10.1097/MD.0000000000010540 [doi] AID - 00005792-201805110-00008 [pii] PST - ppublish SO - Medicine (Baltimore). 2018 May;97(19):e0540. doi: 10.1097/MD.0000000000010540.