World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case report
Abstract Background The hinotori™ Surgical Robot System was approved for use in colorectal cancer surgery in Japan in 2022. This robot has advantages, such as an operation arm with eight axes, an adjustable arm base, and a flexible three-dimensional viewer, and is expected to be utilized in rectal c...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-09-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-023-01705-9 |
| _version_ | 1827633331354730496 |
|---|---|
| author | Ryo Miura Koichi Okuya Emi Akizuki Masaaki Miyo Ai Noda Masayuki Ishii Momoko Ichihara Takahiro Korai Maho Toyota Tatsuya Ito Tadashi Ogawa Akina Kimura Ichiro Takemasa |
| author_facet | Ryo Miura Koichi Okuya Emi Akizuki Masaaki Miyo Ai Noda Masayuki Ishii Momoko Ichihara Takahiro Korai Maho Toyota Tatsuya Ito Tadashi Ogawa Akina Kimura Ichiro Takemasa |
| author_sort | Ryo Miura |
| collection | DOAJ |
| description | Abstract Background The hinotori™ Surgical Robot System was approved for use in colorectal cancer surgery in Japan in 2022. This robot has advantages, such as an operation arm with eight axes, an adjustable arm base, and a flexible three-dimensional viewer, and is expected to be utilized in rectal cancer surgery. Herein, we report the world's first surgery for rectal cancer using the hinotori™ Surgical Robot System. Case presentation A 71-year-old woman presented to our hospital with bloody stools. A colonoscopy revealed type 2 advanced cancer in the rectum, and a histological examination exposed a well-differentiated adenocarcinoma. Abdominal enhanced computed tomography divulged rectal wall thickening without significant swelling of the lymph nodes or distant metastasis. Pelvic magnetic resonance imaging showed tumor invasion beyond the intrinsic rectal muscle layer. The patient was diagnosed with cStage IIa (cT3N0M0) rectal cancer and underwent low anterior resection using the hinotori™ Surgical Robot System. Based on an adequate simulation, surgery was safely performed with appropriate port placement and arm base-angle adjustment. The operating time was 262 min, with a cockpit time of 134 min. Subsequently, the patient was discharged 10 days postoperatively without complications. The pathological diagnosis was pStage IIA (cT3N0M0) and the circumferential resection margin was 6 mm. Conclusions We report the first case of low anterior resection for rectal cancer using the hinotori™ Surgical Robot System, in which a safe and appropriate oncological surgery was performed. |
| first_indexed | 2024-03-09T14:58:04Z |
| format | Article |
| id | doaj.art-5437b2dc035241c58ea399f932de4455 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-03-09T14:58:04Z |
| publishDate | 2023-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-5437b2dc035241c58ea399f932de44552023-11-26T14:03:44ZengSpringerOpenSurgical Case Reports2198-77932023-09-01911710.1186/s40792-023-01705-9World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case reportRyo Miura0Koichi Okuya1Emi Akizuki2Masaaki Miyo3Ai Noda4Masayuki Ishii5Momoko Ichihara6Takahiro Korai7Maho Toyota8Tatsuya Ito9Tadashi Ogawa10Akina Kimura11Ichiro Takemasa12Department of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineDepartment of Surgery, Surgical Oncology and Science, Sapporo Medical University School of MedicineAbstract Background The hinotori™ Surgical Robot System was approved for use in colorectal cancer surgery in Japan in 2022. This robot has advantages, such as an operation arm with eight axes, an adjustable arm base, and a flexible three-dimensional viewer, and is expected to be utilized in rectal cancer surgery. Herein, we report the world's first surgery for rectal cancer using the hinotori™ Surgical Robot System. Case presentation A 71-year-old woman presented to our hospital with bloody stools. A colonoscopy revealed type 2 advanced cancer in the rectum, and a histological examination exposed a well-differentiated adenocarcinoma. Abdominal enhanced computed tomography divulged rectal wall thickening without significant swelling of the lymph nodes or distant metastasis. Pelvic magnetic resonance imaging showed tumor invasion beyond the intrinsic rectal muscle layer. The patient was diagnosed with cStage IIa (cT3N0M0) rectal cancer and underwent low anterior resection using the hinotori™ Surgical Robot System. Based on an adequate simulation, surgery was safely performed with appropriate port placement and arm base-angle adjustment. The operating time was 262 min, with a cockpit time of 134 min. Subsequently, the patient was discharged 10 days postoperatively without complications. The pathological diagnosis was pStage IIA (cT3N0M0) and the circumferential resection margin was 6 mm. Conclusions We report the first case of low anterior resection for rectal cancer using the hinotori™ Surgical Robot System, in which a safe and appropriate oncological surgery was performed.https://doi.org/10.1186/s40792-023-01705-9HinotoriRectal cancerRobotic surgeryLow anterior resection |
| spellingShingle | Ryo Miura Koichi Okuya Emi Akizuki Masaaki Miyo Ai Noda Masayuki Ishii Momoko Ichihara Takahiro Korai Maho Toyota Tatsuya Ito Tadashi Ogawa Akina Kimura Ichiro Takemasa World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case report Surgical Case Reports Hinotori Rectal cancer Robotic surgery Low anterior resection |
| title | World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case report |
| title_full | World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case report |
| title_fullStr | World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case report |
| title_full_unstemmed | World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case report |
| title_short | World-first report of low anterior resection for rectal cancer with the hinotori™ Surgical Robot System: a case report |
| title_sort | world first report of low anterior resection for rectal cancer with the hinotori™ surgical robot system a case report |
| topic | Hinotori Rectal cancer Robotic surgery Low anterior resection |
| url | https://doi.org/10.1186/s40792-023-01705-9 |
| work_keys_str_mv | AT ryomiura worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT koichiokuya worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT emiakizuki worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT masaakimiyo worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT ainoda worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT masayukiishii worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT momokoichihara worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT takahirokorai worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT mahotoyota worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT tatsuyaito worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT tadashiogawa worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT akinakimura worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport AT ichirotakemasa worldfirstreportoflowanteriorresectionforrectalcancerwiththehinotorisurgicalrobotsystemacasereport |