Simultaneous robotic low anterior resection and prostatectomy for adenocarcinoma of rectum and prostate: initial case report

Park, Myungchan; Kim, Seong Cheol; Chung, Jaewoo; Park, Sang Hyun; Park, Seok San; Oh, Sung Jin; Lee, Donghoon; Rha, Koon Ho; Oh, Cheol Kyu

doi:10.1186/s40064-016-3456-y

Cited by 14 publications

(16 citation statements)

References 11 publications

(12 reference statements)

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“…On further analysis, operative times of course resented of the dockings and changes in patient position; however, they were comparable with those of other reports 8,12 . Experience has proven to shorten the operative times, as well as preoperative planning of port placement and operative room set‐up.…”

Section: Discussionsupporting

confidence: 75%

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First cases of combined full robotic partial nephrectomy and colorectal resections: Results and new perspectives

Piccoli

Pecchini

Esposito

et al. 2020

Robotics Computer Surgery

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Background: Nowadays the robotic platform is widespread in general surgery, urology, and gynecology. Combined surgery may represent an alternative to sequential procedures and it allows the treatment, at the same time, of coexisting lesions; in this perspective, full-robotic multiorgan surgery is starting to gain interest from surgeons worldwide. Methods: Between April and June 2019, two patients presenting with synchronous colorectal and kidney cancers underwent, respectively, full-robotic right colectomy with right partial nephrectomy and anterior rectal resection with left partial nephrectomy. Surgeries were performed by both the general surgery and urology team. Results: No intraoperative complications were registered and the postoperative course was uneventful in both cases. Conclusions: Combined multiple organ surgery with full robotic technique is safe and offers oncological adequate results. A multi-team surgical pre-planning is mandatory to reduce invasiveness and operative time. To the best of our knowledge, these are the first reports of full robotic partial nephrectomy combined with colorectal procedures.

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Section: Discussionsupporting

confidence: 75%

“…Descriptions of simultaneous full‐robotic approach for colorectal and genitourinary cancers are scarce, and a standard surgical procedure is missing 8,12 …”

Section: Discussionmentioning

confidence: 99%

First cases of combined full robotic partial nephrectomy and colorectal resections: Results and new perspectives

Piccoli

Pecchini

Esposito

et al. 2020

Robotics Computer Surgery

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“…Given the relatively young age, less common for a PC and the concomitant presence of intestinal polyps, which certainly contributed to the digestive symptoms of the patient, the case is illustrative for the diagnosis difficulties of simultaneous rectal and prostate tumors, here represented by intestinal polyps and PC. There may be lymphatic drainage connecting the pararectal regions to the internal and external iliac regions [ 15 ] and a lymphatic connection could exist between the hypogastric lymphatic drainage and the mesorectal one [ 16 ] which would explain the presence of PC metastases in the perirectal LN. Extended surgery for the presumed RC could have been avoided in this case if the preoperative investigation had included PC screening by DRE and determination of serum PSA levels that had a value higher than that accepted as the normal maximum value in the patient age group – 2.5 ng/mL in the study of Anderson et al [ 17 ].…”

Section: ⧉ Discussionmentioning

confidence: 99%

Prostate carcinomas mimicking a digestive malignancy

Dema

Alc²,

Tăban³

et al. 2021

Rom J Morphol Embryol

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Aim : To report our experience with specific cases of prostate cancer (PC) in which patients presented digestive symptoms, cases that represent a challenge and a source of error regarding the clinical and morphological diagnosis. Methods : The most important clinical and pathological data were collected from three patients with PC which presented symptoms and/or investigations that initially suggested a digestive malignant tumor. Results : We identified three patients with PC where the prostate tumor was not suspected based on the clinical-imagistic data, the correct diagnosis being the prerogative of the morphological investigation: in the first case, PC was detected during the microscopic examination of the lymph nodes (LN) in the intestinal resection specimen performed for suspected rectal cancer (RC), in the second case, in which the PC was synchronous with a RC, the dominant symptomatology was gastrointestinal, and in the third case, initially, the patient presented a widely disseminated PC, with pleural and bone metastases, as well as LN metastases, and apparent peritoneal involvement. Conclusions : Unusual forms of PC presentation are not as rare as expected and should be acknowledged by all those involved in diagnosing this neoplasm. PC should always be considered in the differential diagnosis of a rectal tumor. The immunohistochemical (IHC) investigation is essential for establishing the diagnosis in difficult cases. An integrated approach of the interpretation of clinical manifestations, imagistic and serological changes would shorten the diagnostic time and help reduce diagnostic errors.

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“…A single combined operation for both malignancies, typically prostatectomy combined with either LAR or APR, can be performed (20)(21)(22)(23)(24)(25). Minimally invasive surgical techniques, including laparoscopic APR (24) and robotic LAR (23), both combined with robotic-assisted prostatectomy, have been reported. In our multi-institutional analysis, two different combined open operations were performed: a pelvic exenteration as well as APR with prostatectomy.…”

Section: Discussionmentioning

confidence: 99%

Multi-Institutional Analysis of Synchronous Prostate and Rectosigmoid Cancers

et al. 2020

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Purpose: To perform a multi-institutional analysis of patients with synchronous prostate and rectosigmoid cancers. Materials and Methods: A retrospective review of Duke University and Durham Veterans Affairs Medical Center records was performed for men with both prostate and rectosigmoid adenocarcinomas from 1988 to 2017. Synchronous presentation was defined as symptoms, diagnosis, or treatment of both cancers within 12 months of each other. The primary study endpoint was overall survival. Univariate and multivariable Cox regression was performed. Results: Among 31,883 men with prostate cancer, 330 (1%) also had rectosigmoid cancer and 54 (16%) of these were synchronous. Prostate cancer was more commonly the initial diagnosis (59%). Fifteen (28%) underwent prostatectomy or radiotherapy before an established diagnosis of rectosigmoid cancer. Stage I, II-III, or IV rectosigmoid cancer was present in 26, 57, and 17% of men, respectively. At a median follow-up of 43 months, there were 18 deaths due rectosigmoid cancer and two deaths due to prostate cancer. Crude late grade ≥3 toxicities include nine (17%) gastrointestinal and six (11%) genitourinary. Two anastomotic leaks following low anterior resection occurred in men who received a neoadjuvant radiotherapy prostate dose of 70.6-76.4 Gy. Rectosigmoid cancer stages II-III (HR 4.3, p = 0.02) and IV (HR 16, p < 0.01) as well as stage IV prostate cancer (HR 31, p < 0.01) were associated with overall survival on multivariable analysis. Conclusions: Synchronous rectosigmoid cancer is a greater contributor to mortality than prostate cancer. Men aged ≥45 with localized prostate cancer should undergo colorectal cancer screening prior to treatment to evaluate for synchronous rectosigmoid cancer.

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Simultaneous robotic low anterior resection and prostatectomy for adenocarcinoma of rectum and prostate: initial case report

Cited by 14 publications

References 11 publications

First cases of combined full robotic partial nephrectomy and colorectal resections: Results and new perspectives

First cases of combined full robotic partial nephrectomy and colorectal resections: Results and new perspectives

Prostate carcinomas mimicking a digestive malignancy

Multi-Institutional Analysis of Synchronous Prostate and Rectosigmoid Cancers

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