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Simultaneous robotic resection of colorectal cancer and liver metastases – first experience


Authors: V. Teplan 1;  J. Chrobok 1;  A. M. Rulseh 2;  R. Pospíšil 1
Authors‘ workplace: Centrum robotické chirurgie, Chirurgické oddělení, Nemocnice Na Homolce, Praha 1;  Radiodia­gnostické oddělení, Nemocnice Na Homolce, Praha 2
Published in: Gastroent Hepatol 2024; 78(1): 53-60
Category:
doi: https://doi.org/10.48096/ccgh202453

Overview

Robotic surgery is a rapidly emerging surgical technique worldwide, which has a number of advantages in comparison to the majority of surgical procedures used so far (shorter hospital stay, faster recovery, less pain at the surgical site, fewer surgical site infections, lower risk of incisional hernia and fewer conversions). We present a patient with colorectal cancer in the hepatic flexure and solitary hepatic metastasis (segment 2). Right-sided hemicolectomy with intracorporeal side-to-side anastomosis was performed with the DaVinci Xi robotic system, as well as robotic resection of the second hepatic segment, without the necessity of changing the location (docking) of the robotic instruments. Use of the minimally invasive robotic technique and ERAS protocol significantly accelerated postoperative recovery, including recovery of peristalsis, reduced the need for analgesics, and the patient was discharged on the 5th postoperative  day.

Keywords:

olorectal cancer – liver metastases – robotic surgery


Sources

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ORCID autorů

V. Teplan 0000-0003-1181-6083,

A. Rulseh 0000-0002-8332-4419,

Doručeno/ Submitted: 5. 11. 2023
Přijato/
 Accepted: 14. 2. 2024

MU Dr. Vladimír Teplan, Ph.D.
Centrum robotické chirurgie
Chirurgické oddělení
Nemocnice Na Homolce
Roentgenova 37/ 2 
150 30 Praha 5
vladimir.teplan@homolka.cz

Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Article was published in

Gastroenterology and Hepatology

Issue 1

2024 Issue 1

Most read in this issue
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