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Application of the Xi robotic platform for familial adenomatous polyposis with ultra-low rectal cancer: exploration of minimally invasive and refined therapies

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Abstract

When a familial adenomatous polyposis (FAP) patient’s rectal polyp undergoes malignant transformation, the surgeon needs to consider how to balance the quality of surgery with the patient’s quality of life. Here, we present a case of robotic surgery in a patient with familial adenomatous polyposis and ultra-low rectal cancer. Fiberoptic colonoscopy found that hundreds of polyp-like bulges were diffusely distributed throughout the colon, and a malignant mass was found at the end of the rectum. The patient underwent total colectomy with abdominoperineal extended radical resection for rectal cancer using the Xi robotic platform. The patient recovered well in the postoperative period. The ileostomy was well used. And the patient was in good health and metastasis free at 9 months postoperatively. We identified total colectomy combined with extended radical rectal resection under the assistance of the da Vinci robot platform is of great benefit to the patient.

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Data availability

All data and information are saved in the Second Affiliated Hospital of Harbin Medical University, and the information is true, credible and available. The datasets is availability from the corresponding author on reasonable request.

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Acknowledgements

This study was approved by Institutional Review Board of the Second Affiliated Hospital of Harbin Medical University. All methods were carried out in accordance with the Declaration of Helsinki and the approved guidelines. The patient provided written informed consent.

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Author notes

  1. Huan Xiong and Jiaqi Wang have equally contributed to this work and shared the frst authorship.

Authors and Affiliations

  1. Department of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, China

    Huan Xiong, Jiaqi Wang, Hanqing Hu, Ziming Yuan, Yuliuming Wang, Tianyu Qiao, Tianyi Ma, Chunlin Wang, Zitong Wang & Qingchao Tang

Authors
  1. Huan Xiong
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  2. Jiaqi Wang
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  3. Hanqing Hu
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  4. Ziming Yuan
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  5. Yuliuming Wang
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  6. Tianyu Qiao
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  7. Tianyi Ma
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  8. Chunlin Wang
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  9. Zitong Wang
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  10. Qingchao Tang
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Contributions

All authors contributed to the study conception and design. Operative procedure, material preparation and data collection were performed by all authors. The first draft of the manuscript was written by HX and JW, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Qingchao Tang.

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Xiong, H., Wang, J., Hu, H. et al. Application of the Xi robotic platform for familial adenomatous polyposis with ultra-low rectal cancer: exploration of minimally invasive and refined therapies. J Robotic Surg 17, 1843–1846 (2023). https://doi.org/10.1007/s11701-023-01587-x

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  • DOI: https://doi.org/10.1007/s11701-023-01587-x

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