Combined laparoscopic abdominoperineal resection and robotic-assisted prostatectomy for synchronous double cancer of the rectum and the prostate.
Here we report a combined laparoscopic abdominoperineal resection and robotic-assisted prostatectomy. A 74-year-old man was diagnosed with T4b low rectal and prostate cancer. The operation was performed after neoadjuvant chemotherapy for the rectal cancer. The procedure used eight ports in total, five for laparoscopic abdominoperineal resection and six for robotic-assisted prostatectomy. First, laparoscopic total mesorectal excision including division of the inferior mesenteric artery was performed, and then, robotic dissection of the prostate was performed. The en bloc specimen was removed through the perineal wound. Then, robotic urethrovesical anastomosis was performed. An extraperitoneal end colostomy was created to finish the operation. The operating time was 545 min, and blood loss was 170 mL. The postoperative course was uneventful, and the patient discharged on postoperative day 17. The combined laparoscopic abdominoperineal resection and robotic-assisted prostatectomy were performed safely without any additional technical difficulty, as both procedures shared port settings and patient positions.
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Hirohiko
H
Kamiyama
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Kazuhiro
K
Sakamoto
Department of Urology, Juntendo University School of Medicine, Tokyo, Japan.
Toshiyuki
T
China
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Jun
J
Aoki
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Koichiro
K
Niwa
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Shun
S
Ishiyama
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Makoto
M
Takahashi
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Yutaka
Y
Kojima
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Michitoshi
M
Goto
Department of Coloproctological Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Yuichi
Y
Tomiki
Department of Urology, Juntendo University School of Medicine, Tokyo, Japan.
Shigeo
S
Horie
D000368:Aged; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*; D065287:Robotic Surgical Procedures
Laparoscopic abdominoperineal resection; minimally invasive surgery; robotic-assisted prostatectomy