{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:58:22Z","timestamp":1781179102858,"version":"3.54.1"},"reference-count":11,"publisher":"Scientific Scholar","issue":"04","license":[{"start":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T00:00:00Z","timestamp":1733875200000},"content-version":"vor","delay-in-days":71,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["South Asian J Cancer"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Locally advanced colorectal cancer management remains a challenge due to multiple reasons. Some of the major ones include the changes following the use of neoadjuvant radiotherapy and systemic anticancer treatment and previous abdominal surgery (including defunctioning stoma and related changes) and the proximity of structures close to the cancer. Robotic colorectal surgery for malignancy is rapidly evolving as a surgical technique in the management of colorectal cancers but its role in the management of locally advanced disease is not defined.<\/jats:p>\n                  <jats:p>This is a retrospective analysis of robotic colorectal surgery performed and captured in a prospective database. Patients who underwent multivisceral robotic colorectal surgery from 2012 to 2022 were included in this study. Robotic colorectal surgeries without multivisceral resections were excluded.<\/jats:p>\n                  <jats:p>A total of 24 patients underwent robotic multivisceral resection (RMVR). This included 6 males and 17 females. The 17 females underwent posterior clearance, 5 males underwent abdominoperineal resection with seminal vesicle excision, and 1 male underwent total pelvic exenteration. Of the patients, 22 had neoadjuvant pelvic radiotherapy. Sixteen (66.7%) had past lower abdominal surgery (stoma). Preoperative tumor staging was T3 or T4 in 90%, and 80% had R0 resection. The median lymph node harvest was 15 (range 4\u201331). There was zero need for conversion to open surgery and zero 90-day mortality.<\/jats:p>\n                  <jats:p>RMVR is a safe approach for locally advanced colorectal cancer, with acceptable surgical clearance.<\/jats:p>","DOI":"10.1055\/s-0044-1791561","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T19:37:11Z","timestamp":1733945831000},"page":"259-262","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Multivisceral Resection (RMVR) of the Pelvis for Locally Advanced Colorectal Carcinoma: Single Oncosurgical Center Experience"],"prefix":"10.25259","volume":"13","author":[{"given":"M. A. Chamila","family":"Lakmal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Colombo South Teaching Hospital, Kalubowila, Dehiwala, Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelliah R.","family":"Selvasekar","sequence":"additional","affiliation":[{"name":"Department of Clinical Services and Specialist Surgery, The Christie NHS Foundation Trust, Manchester, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyam","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Sir Gangaram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soumitra","family":"Rawat","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology, Sir Gangaram Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"issue":"9472","key":"ref1","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.1016\/S0140-6736(05)66545-2","article-title":"Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial","volume":"365","author":"P J Guillou","year":"2005","journal-title":"Lancet"},{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/S1470-2045(10)70131-5","article-title":"Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial","volume":"11","author":"S B Kang","year":"2010","journal-title":"Lancet Oncol"},{"issue":"01","key":"ref3","first-page":"O9","article-title":"First report: robotic pelvic exenteration for locally advanced rectal cancer","volume":"16","author":"J W Shin","year":"2014","journal-title":"Colorectal Dis"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"131","DOI":"10.7602\/jmis.2022.25.4.131","article-title":"Minimally invasive surgery for maximally invasive tumors: pelvic exenterations for rectal cancers","volume":"25","author":"M Kazi","year":"2022","journal-title":"J Minim Invasive Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.gore.2018.05.012","article-title":"Pelvic exenteration by robotically-assisted laparoscopy: a feasibility series of 6 cases","volume":"25","author":"H T Nguyen Xuan","year":"2018","journal-title":"Gynecol Oncol Rep"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/s12957-016-0816-6","article-title":"Robotic versus laparoscopic low anterior resection for rectal cancer: a meta-analysis","volume":"14","author":"Y Sun","year":"2016","journal-title":"World J Surg Oncol"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s13193-020-01105-7","article-title":"Evolution of robotic surgery in a colorectal cancer unit in India","volume":"11","author":"J Rohila","year":"2020","journal-title":"Indian J Surg Oncol"},{"issue":"14","key":"ref8","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1056\/NEJMoa1414882","article-title":"A randomized trial of laparoscopic versus open surgery for rectal cancer","volume":"372","author":"H J Bonjer","year":"2015","journal-title":"N Engl J Med"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/S1470-2045(13)70016-0","article-title":"Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial","volume":"14","author":"M H van der Pas","year":"2013","journal-title":"Lancet Oncol"},{"issue":"02","key":"ref10","first-page":"217","article-title":"Multivisceral resection for locally advanced rectal cancer: prognostic factors influencing outcome","volume":"235","author":"M J Manas","year":"2015","journal-title":"Ann Surg"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/00000658-200202000-00009","article-title":"Multivisceral resection for locally advanced primary colon and rectal cancer: an analysis of prognostic factors in 201 patients","volume":"235","author":"T Lehnert","year":"2002","journal-title":"Ann Surg"}],"container-title":["South Asian Journal of Cancer"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1791561.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:12:57Z","timestamp":1781176377000},"score":1,"resource":{"primary":{"URL":"https:\/\/journal.sajc.org\/robotic-multivisceral-resection-rmvr-of-the-pelvis-for-locally-advanced-colorectal-carcinoma-single-oncosurgical-center-experience\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":11,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,3,7]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1791561","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2278-330X","2278-4306"],"issn-type":[{"value":"2278-330X","type":"print"},{"value":"2278-4306","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}