Izutani Yusuke, Nakata Ken, Takayama Hitoshi, Miyake Yuichiro, Ohara Nobuyoshi, Oiki Hana, Umeda Issei, Kitagawa Akihiro, Ushimaru Yuki, Nishikawa Kazuhiro, Kawabata Ryohei, Maeda Sakae, Nakahira Shin, Miyamoto Atsushi, Yasuhara Yumiko
Dept. of Surgery, Sakai City Medical Center.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1565-1567.
We present a case of a 72-year-old man diagnosed with rectal cancer invading the urinary bladder/prostate. Preoperative chemoradiotherapy substantially reduced the tumor size. In collaboration with urologists, robot-assisted low anterior resection with total cystectomy was performed using the da Vinci Xi system. Depending on the surgical situation, the colorectal surgeon and urologist could smoothly and rapidly play the role of a console surgeon. Although the first robot-assisted multi-organ resection of our institution, the surgery was completed safely without any complications. Although the patient developed urinary tract infection postoperatively, he recovered and was discharged after postoperative 23 days. In conclusion, robot-assisted surgery would be useful in pelvic surgery involving multiple departments such as colorectal surgery, urology, and gynecology.
我们报告一例72岁男性患者，诊断为直肠癌侵犯膀胱/前列腺。术前放化疗显著缩小了肿瘤大小。与泌尿科医生合作，使用达芬奇Xi系统进行了机器人辅助低位前切除术并全膀胱切除术。根据手术情况，结直肠外科医生和泌尿科医生能够顺利且迅速地担任主刀医生的角色。尽管这是我们机构首例机器人辅助多器官切除术，但手术安全完成，无任何并发症。患者术后发生了尿路感染，不过康复后于术后23天出院。总之，机器人辅助手术在涉及结直肠外科、泌尿科和妇科等多个科室的盆腔手术中可能会很有用。
