TREATMENT OF LOCALLY ADVANCED COLON TUMORS VIA ROBOTIC SURGERY IN A SPECIALIZED CENTER

Video Description A compilation of three videos demonstrating locally advanced sigmoid and rectosigmoid junction tumors, T4b, invading adjacent organs such as the small bowel and bladder, successfully operated via robotic surgery, applying advanced techniques for multi-organ resection without the need for conversion.

Discussion Approximately 10% of colorectal cancer patients have locally advanced disease at the time of diagnosis, either T4a, with involvement of the peritoneum adjacent to the lesion, or T4b, with invasion of one or more adjacent organs. Surgery with R0 resection is the treatment of choice, potentially curative, and of patients undergoing multi-organ resection with curative intent, 7 to 33% progress with isolated regional recurrence. Statistically, there is a lower rate of conversion to laparotomy when the approach is robotic, compared to laparoscopic surgery.

Conclusion Such an approach was only possible because the cases were treated at a specialized oncology center and due to the experience of the assisting team in minimally invasive approaches.

No conflict of interest has been declared by the author(s).

Publication History

Article published online:
25 April 2025