Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer: A case series.
Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer: A case series.
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DOI：
10.1016/j.ijscr.2018.09.021
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发表时间：
2018
影响因子：
0.6
通讯作者：
Fujiwara T
中科院分区：
文献类型：
--
作者：
Imagami T;Takayama S;Hattori T;Matsui R;Sakamoto M;Kani H;Kurokawa S;Fujiwara T
同时进行结直肠癌和泌尿生殖道癌的腹腔镜和机器人联合手术极为罕见。在同期的内窥镜手术中，必须确定切除的顺序、术中病人的体位和端口的安排。腹腔镜和机器人联合手术适用于需要多学科治疗的晚期癌症病例。诊断技术和治疗的进步导致了同步癌症患者的增加。腹腔镜和机器人联合切除同步治疗结直肠癌和泌尿生殖道癌的外科报道很少见。2015年8月至2017年11月，3例同步性结直肠癌和泌尿生殖系肿瘤患者接受了腹腔镜和机器人联合手术。例1为59岁男性，同时患有直肠癌和前列腺癌，接受了联合腹腔镜下前切除术和机器人辅助的前列腺切除术。例2为77岁男性，合并横结肠癌和左肾癌，行腹腔镜横结肠切除术和机器人辅助肾部分切除术。例3为74岁男性，同时行腹腔镜左半结肠切除联合机器人辅助前列腺癌切除术。在同期的内窥镜手术中，必须考虑切除的顺序、术中病人的体位和端口的安排。同时手术可迅速进行术后辅助化疗。腹腔镜和机器人联合手术治疗同步的结直肠癌和泌尿生殖道癌，适用于需要多学科治疗的晚期癌症病例。
Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer are extremely rare. In simultaneous endoscopic surgery, it is necessary to decide sequence of resection, intraoperative patient’s position and port arrangement. Combined laparoscopic and robotic surgery is suitable for advanced cancer cases requiring multidisciplinary treatment. Advances in diagnostic techniques and treatment have resulted in an increase in patients with synchronous cancer. Surgical reports of combined laparoscopic and robotic resection for synchronous colorectal and genitourinary cancer are rare. Between August 2015 and November 2017, three patients underwent combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer in our hospital. Case 1 was a 59-year-old man with synchronous rectal and prostate cancer treated by combined laparoscopic anterior resection and robotic-assisted prostatectomy. Case 2 was a 77-year-old man with synchronous cancer of transverse colon and left kidney treated by combined laparoscopic transverse colectomy and robotic-assisted partial nephrectomy. Case 3 was a 74-year-old man with synchronous adenocarcinoma of descending colon and prostate treated by combined laparoscopic left hemicolectomy and robotic-assisted prostatectomy. In simultaneous endoscopic surgery, it is necessary to consider sequence of resection, intraoperative position of patient and port arrangement. Simultaneous surgery allows promptly for postoperative adjuvant chemotherapy. Combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer is suitable for advanced cancer cases requiring multidisciplinary treatment.