Abstract

Introduction: Robotic technology can be used to address several common complications of solid organ malignancies. This case report deals with a patient with rectal cancer undergone robotic rectal resection for bleeding adenocarcinoma, with a new finding of primary pancreatic cancer at post-neoadjuvant re-evaluation. Materials and Methods: A 70-year-old female patient with adenocarcinoma of the rectum was referred to neoadjuvant treatment. Re-evaluation showed a new finding of a pancreatic tumor. CHT was halted for rectal tumor bleeding after 1 week. Palliative rectal surgery was recommended. Results: Patient was discharged on 6th postoperative day; CHT was resumed. No pelvic relapse was diagnosed, the pancreatic lesion reduced volumetrically and a RT was performed. After 1 year from surgery the patient referred to our ER for intestinal obstruction. An explorative laparoscopy revealed a diffuse carcinosis from pancreas. Conclusion: Robotic surgery is safe also in palliative surgery. Minimally-invasive approach minimizes adverse effects of surgical intervention.

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