Related Experiment Video
Updated: May 28, 2025

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Robot-Assisted Rectal Resection Safely Performed in a 99-Year-Old Patient with Rectal Cancer]
Hiroki Yamaguchi1, Masatsune Shibutani, Takemi Ishidate
1Dept. of Gastroenterological Surgery, Osaka Metropolitan University Graduate School of Medicine.
Abstract:
This report describes the case of a 99-year-old woman with abnormal bowel movements and bloody stools. The patient had visited her previous doctor and was diagnosed with rectal cancer. Lower gastrointestinal endoscopy revealed a semi-peripheral type 2 tumor of the Rb. The patient was diagnosed with Stage Ⅰ rectal cancer(cT2N0M0)and underwent robot-assisted low anterior resection(Hartmann's procedure). The patient had a good postoperative course and was discharged on postoperative day 9. Elderly persons are often high-risk candidates for surgery due to preoperative frailty and comorbidities. Therefore, the indications for surgery and the choice of surgical procedure should be determined based on a comprehensive evaluation of the patient's operational tolerance, risk of complications, postoperative quality of life, and curative potential. Here, we describe the case of a super-elderly patient with rectal cancer who underwent robot-assisted surgery.

