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PMID- 29742689
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  - 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.