Department of Surgery, Fujita Health University, Toyoake, Japan.
Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University, Toyoake, Japan.
Asian J Endosc Surg. 2024 Apr;17(2):e13304. doi: 10.1111/ases.13304.
Undergoing another surgery after a previous abdominal procedure can sometimes result in significant abdominal adhesions. We present a case of robot-assisted low anterior resection in a patient with rectal cancer who had a urinary reservoir. A 65-year-old male patient underwent robot-assisted total bladder resection and creation of a urinary reservoir for bladder cancer in 2013. He presented with melena. Thus, the findings revealed advanced low rectal cancer. The robot-assisted low anterior resection was performed in 2022. Extensive adhesions were observed in the pelvic space. The indocyanine green function was appropriately used, and the robotic surgery was completed without injury to the urinary reservoir or major complications. The surgical time was 510 min, and the blood loss volume was 15 mL. The patient had been recurrence free for 12 months following the surgery. Robot-assisted surgery can be beneficial for patients with rectal cancer with significant pelvic adhesions.
在先前的腹部手术后再次进行手术，有时会导致严重的腹部粘连。我们报告一例机器人辅助低位前切除术的病例，该患者患有直肠癌并带有尿袋。一名 65 岁男性患者于 2013 年因膀胱癌接受机器人辅助全膀胱切除术和尿袋造口术。他因黑便就诊。因此，检查结果显示为晚期低位直肠肿瘤。2022 年进行了机器人辅助低位前切除术。在盆腔空间中观察到广泛的粘连。适当使用吲哚菁绿功能，机器人手术顺利完成，未损伤尿袋或发生重大并发症。手术时间为 510 分钟，失血量为 15 毫升。患者手术后 12 个月无复发。机器人辅助手术对患有严重盆腔粘连的直肠癌患者有益。
