Robotic Rar for Rectal Cancer with Partial Pelvic Peritonectomy for Carcinosis from Pancreatic Cancer

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Author Info

T. Gatto G. Costantini A. Chahrour Igor Monsellato

Corresponding Author

Igor Monsellato
Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Divisione di Chirurgia Generale ad Indirizzo Oncologico, Alessandria, Italy

A B S T R A C T

Introduction: Robotic technology can be used to address several common complications of solid organ malignancies. This case report deals with a patient with rectal cancer undergone robotic rectal resection for bleeding adenocarcinoma, with a new finding of primary pancreatic cancer at post-neoadjuvant re-evaluation. Materials and Methods: A 70-year-old female patient with adenocarcinoma of the rectum was referred to neoadjuvant treatment. Re-evaluation showed a new finding of a pancreatic tumor. CHT was halted for rectal tumor bleeding after 1 week. Palliative rectal surgery was recommended. Results: Patient was discharged on 6th postoperative day; CHT was resumed. No pelvic relapse was diagnosed, the pancreatic lesion reduced volumetrically and a RT was performed. After 1 year from surgery the patient referred to our ER for intestinal obstruction. An explorative laparoscopy revealed a diffuse carcinosis from pancreas. Conclusion: Robotic surgery is safe also in palliative surgery. Minimally-invasive approach minimizes adverse effects of surgical intervention.

Article Info

Article Type

Case Report

Publication history

Received: Tue 26, Sep 2023
Accepted: Fri 13, Oct 2023
Published: Fri 03, Nov 2023

Copyright

© 2023 Igor Monsellato. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.AJSCR.2023.03.02