Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/22711
Title: Robotic-assisted complete mesocolic excision, central vascular ligation and para-aortic lymph node dissection in multifocal carcinoid: A case report and technical description.
Authors: Young, R;Rajkomar, A;Smart, Philip;Warrier, S
Affiliation: Department of Cancer Surgery, Peter MacCallum Cancer Centre, Victoria, Australia.
Department of Surgery, Alfred Health, Victoria, Australia.
Department of Surgery, Melbourne Health, Melbourne, Victoria, Australia
Gastrointestinal Clinical Institute, Epworth Healthcare, Victoria, Australia
Department of Surgery, Austin Health, Heidelberg, Victoria, Australia
Department of Cancer Surgery, Peter MacCallum Cancer Centre, Victoria, Australia
Issue Date: 11-Feb-2020
EDate: 2020-02-11
Citation: International journal of surgery case reports 2020; 67: 262-266
Abstract: Neuroendocrine tumours are the most common type of primary small bowel neoplasm. Consensus guidelines recommend a multimodal approach to treatment of such tumours, with aggressive surgical resection remaining the mainstay of management. There is evidence that complete mesocolic excision (CME) of lymph nodes is associated with superior oncological outcomes including longer disease-free survival in patients with colorectal cancer than standard lymph node dissection and there is increasing evidence to suggest that the robotic approach may be superior to laparoscopic or open CME. This report discusses a robotic-assisted approach to CME with central vessel ligation (CVL) and para-aortic lymph node dissection in a case of multifocal neuroendocrine tumour of the small bowel. This report details the case of a 73-year-old male with multifocal small bowel neuroendocrine tumour. He underwent a robotic-assisted right hemicolectomy, small bowel resection, CME, CVL and para-aortic lymph node dissection. The approach described involved undertaking CME, CVL and bowel resection with a standard right hemicolectomy robotic set-up before re-docking the robot to perform the retroperitoneal para-aortic lymph node dissection. This case highlights the management of multifocal small bowel neuroendocrine tumour using a robotic approach for surgical resection and lymph node clearance. The robotic approach provides a safe and effective technique for undertaking surgical resection of small bowel neuroendocrine tumour as well as complete mesocolic excision of lymph nodes. With a change in port positions, a robotic approach can be utilised for CME/CVL as well as retroperitoneal node dissection.
URI: http://ahro.austin.org.au/austinjspui/handle/1/22711
DOI: 10.1016/j.ijscr.2020.02.018
PubMed URL: 32092693
ISSN: 2210-2612
Type: Case Reports
Subjects: Case report
Lymph node excision
Robotic surgical procedures
Appears in Collections:Journal articles

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