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CC BY-NC-ND 4.0 · South Asian J Cancer 2024; 13(04): 259-262
DOI: 10.1055/s-0044-1791561
Original Article
Surgery

Robotic Multivisceral Resection (RMVR) of the Pelvis for Locally Advanced Colorectal Carcinoma: Single Oncosurgical Center Experience

Authors

  • M. A. Chamila Lakmal

    1   Department of Surgery, Colombo South Teaching Hospital, Kalubowila, Dehiwala, Sri Lanka

  • Chelliah R. Selvasekar

    2   Department of Clinical Services and Specialist Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom

  • Shyam Aggarwal

    3   Department of Medical Oncology, Sir Gangaram Hospital, New Delhi, India

  • Soumitra Rawat

    4   Department of Surgical Gastroenterology, Sir Gangaram Hospital, New Delhi, India
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Abstract

Introduction

Locally advanced colorectal cancer management remains a challenge due to multiple reasons. Some of the major ones include the changes following the use of neoadjuvant radiotherapy and systemic anticancer treatment and previous abdominal surgery (including defunctioning stoma and related changes) and the proximity of structures close to the cancer. Robotic colorectal surgery for malignancy is rapidly evolving as a surgical technique in the management of colorectal cancers but its role in the management of locally advanced disease is not defined.

Methods

This is a retrospective analysis of robotic colorectal surgery performed and captured in a prospective database. Patients who underwent multivisceral robotic colorectal surgery from 2012 to 2022 were included in this study. Robotic colorectal surgeries without multivisceral resections were excluded.

Results

A total of 24 patients underwent robotic multivisceral resection (RMVR). This included 6 males and 17 females. The 17 females underwent posterior clearance, 5 males underwent abdominoperineal resection with seminal vesicle excision, and 1 male underwent total pelvic exenteration. Of the patients, 22 had neoadjuvant pelvic radiotherapy. Sixteen (66.7%) had past lower abdominal surgery (stoma). Preoperative tumor staging was T3 or T4 in 90%, and 80% had R0 resection. The median lymph node harvest was 15 (range 4–31). There was zero need for conversion to open surgery and zero 90-day mortality.

Conclusion

RMVR is a safe approach for locally advanced colorectal cancer, with acceptable surgical clearance.

Keywords

retrospective study - CRT - stoma - LN harvesting


Publication History

Article published online:
11 December 2024

© 2024. MedIntel Services Pvt Ltd. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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