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Research ArticleClinical Studies

Feasibility of Laparoscopic and Robotic Total Proctocolectomy for Ulcerative Colitis-related Colorectal Cancer

TADASHI YOSHIDA, SHIGENORI HOMMA, NOBUKI ICHIKAWA, SUNAO FUJIYOSHI, KENGO SHIBATA, KEN IMAIZUMI and AKINOBU TAKETOMI
Anticancer Research November 2023, 43 (11) 5245-5252; DOI: https://doi.org/10.21873/anticanres.16726
TADASHI YOSHIDA
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Sapporo, Japan
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SHIGENORI HOMMA
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Sapporo, Japan
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  • For correspondence: homma.s@nifty.com
NOBUKI ICHIKAWA
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Sapporo, Japan
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SUNAO FUJIYOSHI
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Sapporo, Japan
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KENGO SHIBATA
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Sapporo, Japan
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KEN IMAIZUMI
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Sapporo, Japan
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AKINOBU TAKETOMI
Department of Gastroenterological Surgery I, Hokkaido University Hospital, Sapporo, Japan
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Abstract

Background/Aim: To evaluate the feasibility of laparoscopic and robotic total proctocolectomy (TPC) for ulcerative colitis-associated colorectal cancer (UC-CRC). Patients and Methods: We retrospectively analyzed the postoperative outcomes of TPC in 13 patients with UC-CRC between January 2011 and December 2021. Laparoscopic TPC was performed in 10 patients. TPC consisted of two procedures: ileal pouch-anal anastomosis (IAA) and TPC with end ileostomy. Using the da Vinci Xi platform with six ports, robotic TPC and abdominal perineal resection (APR) were performed in two and one patients, respectively. Transanal total mesorectal excision (TaTME) was performed using the perineal approach in five patients. Results: UC-CRC was located in the transverse colon, sigmoid colon, rectum, and anal canal in 1, 1, 10, and 1 patients, respectively. IAA, TPC with end ileostomy, and APR were performed in nine, three, and one patients, respectively. Postoperative complications included colitis, portal vein thrombosis, and liver dysfunction, without mortality. The pathological stages were 0, I, IIa, IIIb, and IIIc in five, four, one, two, and one patients, respectively. The tumors were completely resected in all cases. Eleven patients with pStages 0, I, and II survived without recurrence; however, two patients with pStage III died of cancer recurrence. Conclusion: This study demonstrated the feasibility of laparoscopic and robotic TPC in patients with UC-CRC. However, long-term outcomes in terms of oncology and patient quality of life must be investigated in future large-scale studies.

Key Words:
  • Colitis-associated neoplasms
  • colorectal neoplasms
  • laparoscopy
  • proctocolectomy
  • ulcerative colitis
  • Received August 31, 2023.
  • Revision received September 19, 2023.
  • Accepted September 20, 2023.
  • Copyright © 2023 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 43 (11)
Anticancer Research
Vol. 43, Issue 11
November 2023
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Feasibility of Laparoscopic and Robotic Total Proctocolectomy for Ulcerative Colitis-related Colorectal Cancer
TADASHI YOSHIDA, SHIGENORI HOMMA, NOBUKI ICHIKAWA, SUNAO FUJIYOSHI, KENGO SHIBATA, KEN IMAIZUMI, AKINOBU TAKETOMI
Anticancer Research Nov 2023, 43 (11) 5245-5252; DOI: 10.21873/anticanres.16726

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Feasibility of Laparoscopic and Robotic Total Proctocolectomy for Ulcerative Colitis-related Colorectal Cancer
TADASHI YOSHIDA, SHIGENORI HOMMA, NOBUKI ICHIKAWA, SUNAO FUJIYOSHI, KENGO SHIBATA, KEN IMAIZUMI, AKINOBU TAKETOMI
Anticancer Research Nov 2023, 43 (11) 5245-5252; DOI: 10.21873/anticanres.16726
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Keywords

  • Colitis-associated neoplasms
  • colorectal neoplasms
  • laparoscopy
  • proctocolectomy
  • ulcerative colitis
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