TY - JOUR
AR - AJSCR-2023-3-102
TI - Robotic Rar for Rectal Cancer with Partial Pelvic Peritonectomy for Carcinosis from Pancreatic Cancer
AU - T., Gatto
AU - G., Costantini
AU - A., Chahrour
AU - Igor, Monsellato
JO - American Journal of Surgical Case Reports
PY - 2023
DA - Fri 03, Nov 2023
SN - 2674-5046
DO - http://dx.doi.org/10.31487/j.AJSCR.2023.03.02
UR - https://www.sciencerepository.org/robotic-rar-for-rectal-cancer_AJSCR-2023-3-102 
KW - Palliative surgery, robotic surgery, colorectal cancer, pancreatic cancer, quality of life
AB - 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.