Laparoscopic En Bloc Resection of T4 Colon Cancer Invading the Spleen and Pancreatic Tail

Laparoscopic sigmoid colectomy and splenectomy for diverticulitis and splenic sarcoidosis

“…A single report of combined elective laparoscopic sigmoid resection and splenectomy has been published in the literature,[5] and this was done as an en bloc resection together with distal pancreatectomy. Our patient experienced an SSSI, but no other complications and recovered well form the combined procedure.…”

“…Concomitant removal of other organs with elective or emergency segmental colectomy is rarely done and may include splenectomy. [34] An elective combined laparoscopic en bloc segmental colectomy, distal pancreatectomy and splenectomy has been previously reported for stage 4 colon cancer;[5] however, splenectomy in addition to colectomy is usually unplanned and performed as a result of iatrogenic injury during mobilisation of the splenic flexure. The overall rate of splenic injury during colorectal surgery has been found to be 0.96%, and recent reports indicate that this may not alter outcome.…”

Robotic low anterior resection of rectal cancer with partial resection of urinary bladder and reconstruction – a video vignette

“…Minimally invasive surgery, even in the case of T4 tumours, achieves oncological outcomes that are comparable with those of open surgery . Further benefits include decreased blood loss, reduced immunosuppression and shorter hospital stay .…”

Glove port path for transanal resection of rectal lesion – a video vignette

“…For that reason, many surgeons prefer to carry out a partial cystectomy [1].Minimally invasive surgery, even in the case of T4 tumours, achieves oncological outcomes that are comparable with those of open surgery [4]. Further benefits include decreased blood loss, reduced immunosuppression and shorter hospital stay [5][6][7].Having gained experience in laparoscopic techniques, we used robotic resection techniques (with the Da Vinci â robotic system) for rectosigmoid tumours involving the bladder. We have found that this technique adds stability and enhances dexterity for the bladder reconstruction as a result of three-dimensional (3D) imaging, better precision and improved ergonomics.We think that Video S1 supports the notion that robotic surgery will play an increasingly important role in colorectal surgery.…”

“…Minimally invasive surgery, even in the case of T4 tumours, achieves oncological outcomes that are comparable with those of open surgery [4]. Further benefits include decreased blood loss, reduced immunosuppression and shorter hospital stay [5][6][7].…”