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Robot-Assisted Surgery for Reversed Intestinal Malrotation with Concurrent Cecal Carcinoma: A Case Report
Shota Kuwabara1, Yuka Takakuwa1, Keita Ishido1
1Department of Surgery, Asahikawa Red Cross Hospital, Asahikawa, Hokkaido, Japan.
The American Journal of Case Reports
|August 15, 2024
Summary
This case report details the first robot-assisted surgery for cecal cancer in a patient with reversed intestinal malrotation. The procedure was successful, highlighting the potential benefits of robotic surgery in complex cases.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
- Medical Robotics
Background:
- Reversed intestinal malrotation is a rare congenital anomaly.
- Robotic-assisted colorectal cancer surgery is increasingly adopted in Japan.
- No prior reports exist on robot-assisted surgery for cecal cancer with reversed intestinal malrotation.
Observation:
- An 84-year-old male presented with epigastric pain and abdominal distention.
- Colonoscopy revealed a cecal tumor; imaging confirmed reversed intestinal malrotation and liver metastases.
- The patient was diagnosed with Stage IVa cecal cancer and reversed intestinal malrotation.
Findings:
- Robot-assisted ileocecal resection with D3 lymphadenectomy was performed.
- The patient experienced a favorable postoperative course and was discharged on day six.
- Pathological diagnosis confirmed pT4b, pN1b, cM1a, pStage IVa cancer.
Implications:
- Robot-assisted surgery offers potential advantages in dissecting adhesions due to 3D imaging and articulated instruments.
- This case demonstrates the feasibility of robotic surgery for cecal cancer in patients with rare malrotation anomalies.
- Further research is warranted to explore the broader application of robotic surgery in complex gastrointestinal cases.
