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Updated: Dec 7, 2025

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Simultaneous robot-assisted surgery for rectal cancer and prostatic lesions
Yutaka Kojima1, Kazuhiro Sakamoto1, Shigeo Horie2
1Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
Robotic surgery offers a useful approach for complex procedures like rectal cancer with prostate invasion. This technique, involving robot-assisted resection and ileostomy, facilitated a smooth recovery for patients.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Urologic Oncology
Background:
- Robotic surgery is increasingly adopted globally across various surgical specialties.
- Its application in gastrointestinal, urologic, and gynecologic surgeries is well-established.
- This study explores the utility of robotic assistance in combined gastrointestinal and urologic procedures.
Observation:
- Two cases of joint surgery involving urology and gastrointestinal surgery were performed.
- A robot-assisted low anterior resection, combined prostate resection, and ileostomy were conducted for rectal cancer with prostate invasion.
- The surgical procedures were performed on the same anatomical area.
Findings:
- Robotic surgery proved useful for manipulating the surgical site in these combined procedures.
- The patient in the described case was discharged without any complications.
- The technique allowed for effective management of rectal cancer invading the prostate.
Implications:
- Robotic surgery enhances the feasibility and safety of complex, multi-specialty pelvic surgeries.
- Preoperative multidisciplinary team meetings are crucial for optimizing planning and execution.
- This approach may lead to smoother and safer surgical outcomes in oncologic cases requiring combined organ resection.
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