Experiences in robotic colorectal surgery: comprehensive insights from a multi-center analysis using the Senhance Robotic System Narimantas E. Samalavicius, Rita Karpiciute, Vaida Nausediene, Frank Willeke, Olaf Martin Hansen, Vivianda Menke Journal of Robotic Surgery.2024;[Epub] CrossRef
Rhabdoid colonic tumors are very rare lesions with just a few publications describing such neoplasms. Even more unusual for these lesions are their primary rectal locations, with only two brief case reports having been published on that subject to date. We present a case of a composite rhabdoid rectal carcinoma in a 49-year-old male. The tumor behaved very aggressively, with rapid patient demise despite radical surgery and intensive postoperative chemotherapy (FOLFIRI [folinic acid {leucovorin}, fluorouracil {5-fluorouracil}, and irinotecan] and FOLFOX4 [folinic acid {leucovorin}, fluorouraci {5-fluorouracil}, and oxaliplatin]). Pathologic examination was supportive of a rhabdoid carcinoma, with a compatible immunohistochemical profile, demonstrating synchronous expression of vimentin and epithelial markers in the tumor cells. In addition, BRAF V600E gene mutation, together with a wild-type KRAS gene, was identified, and no evidence of microsatellite instability based on MLH1, MSH2, MSH6, and PMS2 immunophenotypes, i.e., no loss of expression for all 4 markers, was observed. Our reported case confirms previously published observations of the clinical aggressiveness and the poor therapeutic response for rhabdoid tumors.
Citations
Citations to this article as recorded by
Undifferentiated Rhabdoid Carcinoma of the Gastrointestinal Tract: A Rare and Aggressive Malignancy Justin M Hsieh, Zara Summers, Shinn Yeung Cureus.2025;[Epub] CrossRef
SMARCB1/INI1-Deficient Poorly Differentiated Carcinoma of the Colon With Rhabdoid Features—A Rare Tumor With Serrated Phenotype: Case Report and Review of Literature Shivali Maurya, Sujata Yadav, Subham Bhowmik, Jasmine Dhal, Lalita Mehra, Raju Sharma, Asuri Krishna, Atul Sharma, Adarsh Barwad, Prasenjit Das International Journal of Surgical Pathology.2024; 32(1): 187. CrossRef
Elusive and Aggressive: Unraveling SMARCB1/INI1-Deficient Undifferentiated Carcinoma With Rhabdoid Features Arising From the Colon: A Case Report and Comprehensive Literature Review Xiaoqin (Lucy) Liu, Diana Agostini-Vulaj International Journal of Surgical Pathology.2024; 32(8): 1582. CrossRef
A Case of Ascending Colon Carcinoma with Rhabdoid Features Masanari YAMADA, Masanori ICHINOSE, Atsushi HIRATA, Yoshihiro KURATA, Kimiaki FUKASAWA, Hisahiro MATSUBARA Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2024; 85(6): 755. CrossRef
Case report: administration of immune checkpoint inhibitor for SMARCB1 (INI1)-negative rhabdoid carcinoma with microsatellite instability (MSI)-high in the right colon Toshinori Kobayashi, Yuki Matsui, Hisanori Miki, Masahiko Hatta, Mitsuaki Ishida, Hironaga Satake, Mitsugu Sekimoto Surgical Case Reports.2023;[Epub] CrossRef
A Rare Case of Undifferentiated Rhabdoid Carcinoma of the Colon Syed Alishan Nasir, Ronak Patel, Lalaine Ruiz, Michael Bush Cureus.2022;[Epub] CrossRef
INI1-negative colorectal undifferentiated carcinoma with rhabdoid features and postoperative rapidly growing liver metastases: a case report and review of the literature Masatsugu Kojima, Toru Miyake, Tomoyuki Ueki, Hiroyuki Ohta, Ryoji Kushima, Masanori Shiohara, Hiroo Mizuta, Hiroya Iida, Tsuyoshi Yamaguchi, Sachiko Kaida, Katsushi Takebayashi, Hiromitsu Maehira, Yusuke Nishina, Tomoharu Shimizu, Eiji Mekata, Masaji Tan Surgical Case Reports.2021;[Epub] CrossRef
BRAF Mutation in Colorectal Rhabdoid and Poorly Differentiated Medullary Carcinomas Elena Bolzacchini, Nunzio Digiacomo, Cristina Marrazzo, Nora Sahnane, Roberta Maragliano, Anthony Gill, Luca Albarello, Fausto Sessa, Daniela Furlan, Carlo Capella Cancers.2019; 11(9): 1252. CrossRef
Pathologic complete response to bevacizumab-FOLFIRI in metastatic colonic undifferentiated carcinoma with rhabdoid features Tien-Chan Hsieh, Hung-Wei Liu, Chao-Wen Hsu Journal of Cancer Research and Practice.2019; 6(3): 140. CrossRef
Extraordinary disease-free survival in a rare malignant extrarenal rhabdoid tumor: a case report and review of the literature Francesco D’Amico, Alessandra Bertacco, Maurizio Cesari, Claudia Mescoli, Giorgio Caturegli, Gabriel Gondolesi, Umberto Cillo Journal of Medical Case Reports.2018;[Epub] CrossRef
SMARCA4-deficient thoracic sarcoma: a distinctive clinicopathological entity with undifferentiated rhabdoid morphology and aggressive behavior Jennifer L Sauter, Rondell P Graham, Brandon T Larsen, Sarah M Jenkins, Anja C Roden, Jennifer M Boland Modern Pathology.2017; 30(10): 1422. CrossRef
Case Report of Rhabdoid Colon Cancer and Review of Literature Aparna Kalyan, Gurleen Pasricha, Dulabh Monga, Aatur Singhi, Nathan Bahary Clinical Colorectal Cancer.2015; 14(1): e5. CrossRef
The laparoscopic colectomy is avoided principally because of its technical difficulty, steep learning curve, and increased operative time. Hand-assisted laparoscopic surgery (HALS) is an alternative technique that addresses these problems while preserving the short-term benefits of a laparoscopic colectomy. Our study was aimed to describe the characteristics of patients admitted due to left-sided colon and rectal cancer for HALS.
Methods
A prospectively maintained database was used to identify patients who underwent HALS at the Institute of Oncology, Vilnius University, from July 1, 2009, to October 1, 2012.
Results
One hundred-three HALS colorectal resections were performed. The patients' mean age was 64 ± 13.4 years. There were 46 male and 57 female patients. The body mass index was 27.3 ± 5.8 kg/m2. Forty-three patients (41.8%) had experienced prior abdominal surgery. The mean HALS time was 105 minutes (range, 55-85 minutes). The conversion rate was 2.7% (3/103). The median of return of gastrointestinal function was 2.5 days (range, 2.2-4.5 days). The median length of hospital stay was 9 days. The postoperative complication and mortality rates were 10.7% and 0.97%, respectively. Four incisional hernias (3.9%) were seen at a mean follow-up of 7.0 ± 3.4 months. None of the patients had a trocar or a hand-port site recurrence.
Conclusion
A HALS colorectal resection is a safe and effective technique, and it provides all the benefits of minimally invasive surgery.
Citations
Citations to this article as recorded by
Hand Assisted Laparoscopic Surgery for Colorectal Cancer: Surgical and Oncological Outcomes from a Single Tertiary Referral Centre Narimantas Evaldas Samalavicius, Zygimantas Kuliesius, Robertas Stasys Samalavičius, Renatas Tikuisis, Edgaras Smolskas, Zilvinas Gricius, Povilas Kavaliauskas, Audrius Dulskas Journal of Clinical Medicine.2022; 11(13): 3781. CrossRef
Laparoscopic and Robotic Surgery for Rectal Cancer—Comparative Study Between Two Centres Audrius Dulskas, Mahdi Albandar, Narimantas E. Samalavicius, Yoon Dae Han, Nam Kyu Kim Indian Journal of Surgery.2021; 83(1): 48. CrossRef
Laparoscopic hand‐assisted total mesorectal excision for mid rectal cancer using the Gelport system—a video vignette Narimantas E. Samalavicius, Vita Klimasauskiene, Audrius Dulskas Colorectal Disease.2021; 23(4): 1018. CrossRef
Hand‐assisted laparoscopic surgery for rectal cancer – a video vignette N. E. Samalavicius, P. Kavaliauskas, A. Dulskas Colorectal Disease.2019; 21(11): 1336. CrossRef
High vascular ligation in left-sided colon cancer surgery is safe and adequate Narimantas E. Samalavicius, Audrius Dulskas, Simonas Uselis, Edgaras Smolskas, Giedre Smailyte, Raimundas Lunevicius European Surgery.2018; 50(5): 221. CrossRef
Laparoscopic colectomy in obese patients: a comparison of laparoscopic and hand-assisted laparoscopic techniques Douglas M. Overbey, Michelle L. Cowan, Patrick W. Hosokawa, Brandon C. Chapman, Jon D. Vogel Surgical Endoscopy.2017; 31(10): 3912. CrossRef
HAND-ASSISTED LAPAROSCOPIC SURGERY FOR THE CANCER OF THE LEFT COLON AND RECTUM - AN IDEAL OPTION OF MINIMALLY INVASIVE SURGERY? SINGLE CENTRE EXPERIENCE WITH 459 CASES Narimantas E. Samalavicius, Zygimantas Kuliesius, Audrius Dulskas, Justas Kuliavas, Giedre Rudinskaite, Edgaras Smolskas, Afredas Kilius, Kestutis Petrulis Koloproktologia.2017; (4): 7. CrossRef
Is There Still a Role for Video-Assisted Laparoscopic Gastric Banding in Severe Obesity? Nicola Zampieri, Roberto Castellani, Lorenzo Francia Bariatric Surgical Practice and Patient Care.2016; 11(1): 25. CrossRef
Laparoscopic sigmoid colectomy: Are all laparoscopic techniques created equal? Emily F. Midura, Dennis J. Hanseman, Bradley R. Davis, Bobby L. Johnson, Joshua W. Kuethe, Janice F. Rafferty, Ian M. Paquette Surgical Endoscopy.2016; 30(8): 3567. CrossRef
Preoperative prediction of conversion from laparoscopic rectal resection to open surgery: a clinical study of conversion scoring of laparoscopic rectal resection to open surgery Guang-Dong Zhang, Xu-Ting Zhi, Jian-Li Zhang, Guang-Bo Bu, Gang Ma, Kai-Lei Wang International Journal of Colorectal Disease.2015; 30(9): 1209. CrossRef
Hand-Assisted Laparoscopic Approach in Colon Surgery Zhobin Moghadamyeghaneh, Joseph C. Carmichael, Steven Mills, Alessio Pigazzi, Ninh T. Nguyen, Michael J. Stamos Journal of Gastrointestinal Surgery.2015; 19(11): 2045. CrossRef
What Is the Role of Hand-Assisted Laparoscopic Surgery in the Single-Port Surgery Era? Chang-Nam Kim Annals of Coloproctology.2013; 29(6): 217. CrossRef