Synchronous robotic right hemicolectomy and subtotal gastrectomy
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TECHNICAL NOTE
Synchronous robotic right hemicolectomy and subtotal gastrectomy Fabio Carbone1 · Ugo Pace2 · Vittorio Albino3 · Maddalena Leongito3 · Paolo Delrio2 Received: 15 July 2020 / Accepted: 7 August 2020 © The Author(s) 2020
Abstract About 4% of patients with stomach cancer diagnosis have synchronous colorectal cancer and some of these patients may require a synchronous surgical resection. So far, only few minimally invasive series of synchronous resections have been described. We investigated the feasibility and safety of the synchronous robotic resection of the right colon and stomach malignancies, trying to identify a standardised and reproducible technique. It is essential to carefully plan the operation and the trocars positioning to minimise the number of robotic dockings and be able to operate comfortably. Herein, we describe our approach, which is safe and effective in terms of minimal invasiveness and oncological radicality. Robotic surgery could be used with even more advantage in complex multi-organ resections, providing the surgeon with a better vision, a more accurate dissection and longer instruments, to offer the patient all the benefits of a minimal invasive surgery. Keywords Robotic surgery · Right hemicolectomy · Gastrectomy · Colon · Stomach · Cancer · Technique
Introduction About 4% of patients with stomach cancer diagnosis have synchronous colorectal cancer and some of these patients may require a synchronous surgical resection. [1] The feasibility and safety of robotic right hemicolectomy and partial * Fabio Carbone [email protected] Ugo Pace [email protected] Vittorio Albino [email protected] Maddalena Leongito [email protected] Paolo Delrio [email protected] 1
Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Corso Umberto I 40, 80138 Naples, Italy
2
Colorectal Surgical Abdominal Oncology Department, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione Giovanni Pascale” IRCCS, Via Mariano Semmola 52, 80131 Naples, Italy
3
Gastro‑pancreatic Surgery Department, Istituto Nazionale per lo Studio e la Cura dei Tumori “Fondazione Giovanni Pascale” IRCCS, Via Mariano Semmola 52, 80131 Naples, Italy
gastrectomy as minimally invasive techniques have already been proven since 2002 [2] and 2008 [3], respectively. So far, only a few laparoscopic [4–6] and one robotic [7] case series of synchronous resections have been described. Especially in multi-organ resections, robotic surgery may give a significant gain in terms of postoperative recovery and ease of procedure for the surgeon. Furthermore, during COVID19 (Coronavirus disease-19) pandemic era, the use of the robot for complex oncologic surgery could provide a safety advantage for health professionals and patients. Although there are several techniques and different approaches for both robotic right hemicolectomy and partial gastrectomy, we investigated the feasibility and safety of the robotic synchronous resection of the ri
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