title: Robot-assisted one-stage resection of rectal cancer with liver and lung metastases.
abstract: The Da Vinci Surgical System may help to overcome some of the difficulties of laparoscopy for complicated abdominal surgery. The authors of this article present a case of robot-assisted, one-stage radical resection of three tumors, including robotic anterior resection for rectal cancer, segmental hepatectomy for liver metastasis, and wedge-shaped excision for lung metastasis. A 59-year-old man with primary rectal cancer and liver and lung metastases was operated upon with a one-stage radical resection approach using the Da Vinci Surgical System. Resection and anastomosis of rectal cancer were performed extracorporeally after undocking the robot. The procedure was successfully completed in 500 min. No surgical complications occurred during the intervention and postoperative period, and no conversion to laparotomy or additional trocars were required. To the best of our knowledge, this is the first case of simultaneous resection for rectal cancer with liver and lung metastases using the Da Vinci Surgery System to be reported. The procedure is feasible and safe and its main advantages for patient are avoiding repeated operation, reducing surgical trauma, shortening recovery time, and early implementation of postoperative adjuvant therapy.
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Jian-Min
authors.initials: JM
authors.lastname: Xu
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Wei
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Xiao-Ying
authors.initials: XY
authors.lastname: Wang
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Fan
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Wen-Ju
authors.initials: WJ
authors.lastname: Chang
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Li
authors.initials: L
authors.lastname: Ren
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Jiang
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Jia
authors.initials: J
authors.lastname: Fan
authors.affiliation: Jian-Min Xu, Ye Wei, Xiao-Ying Wang, Hong Fan, Wen-Ju Chang, Li Ren, Wei Jiang, Jia Fan, Xin-Yu Qin, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
authors.forename: Xin-Yu
authors.initials: XY
authors.lastname: Qin
mesh_terms: D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D059146:Metastasectomy / Q000379:methods*; D008875:Middle Aged; D064847:Multimodal Imaging; D011013:Pneumonectomy / Q000379:methods*; D049268:Positron-Emission Tomography; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000379:methods*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Da Vinci Surgical System; Liver metastasis; Lung metastasis; Minimally invasive colorectal surgery; Robotic surgery