Robot‐assisted low anterior resection for a rectal cancer patient with ileal conduit: A case report

Author:

Yamamoto Daisuke1ORCID,Kotake Masanori1,Ishibayashi Kenichi1ORCID,Fujimori Daisuke1,Saito Hiroshi1ORCID,Sawada Koichiro1,Oshima Masahiro1,Hayashi Hironori1,Oyama Kaeko1,Hara Takuo1,Inaki Noriyuki2ORCID

Affiliation:

1. Department of Surgery Koseiren Takaoka Hospital Takaoka Japan

2. Department of Gastrointestinal Surgery/Breast Surgery Kanazawa University Gradurate School of Medical Sciences Kanazawa Japan

Abstract

AbstractSurgery for rectal cancer patients with an ileal conduit after total cystectomy is difficult because adhesions in the pelvis and around the ileal conduit are expected. In the present case, we performed robot‐assisted low anterior resection of the rectum in a 69‐year‐old male patient with rectal cancer who underwent ileal conduit diversion after total cystectomy. In this procedure, the port was inserted into the left upper abdomen as a first step, and two additional ports were added on the left side. Low anterior resection was performed using two left hands to create more space in the abdominal cavity for the ileal conduit. We present this minimally invasive robotic procedure that is extremely useful for dissection of adhesions in a narrow pelvic cavity.

Publisher

Wiley

Subject

General Medicine

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