It is estimated that 10-20% of colorectal adenocarcinomas present with locally advanced disease, for which an en-bloc multivisceral resection with an adequate safety margin provides the chance of cure for patients.^1-3 However, radical surgery for T4 colorectal cancer is technically challenging because it is difficult to precisely define the dissection plane along with the inflammed infiltrative tissues near the bulky colorectal cancer, especially when the surgery uses a minimally invasive approach.^4-8 Recent advancements in robotic technology have made it feasible to resect multiple organs simultaneously.^9-12 Inspired by such achievements of surgical technology, we are nowadays developing robotic surgery to treat locally advanced colorectal cancer requiring multivisceral resection and complex reconstructive procedures. We hypothesised that such patients could be treated well with quick convalescence and favourable oncological outcomes through the robotic surgical approach.

中文翻译：

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T4乙状结肠癌的机器人多脏器整块切除重建和多学科治疗-视频小插曲

据估计，10-20% 的结直肠腺癌存在局部晚期疾病，为此，具有足够安全范围的整块多脏层切除术为患者提供了治愈的机会。^1-3然而，T4 结直肠癌的根治性手术在技术上具有挑战性，因为难以精确地定义解剖平面以及大块结直肠癌附近的炎症浸润组织，尤其是在手术使用微创方法时。^4-8机器人技术的最新进展使得同时切除多个器官成为可能。^9-12受这些外科技术成就的启发，我们现在正在开发机器人手术来治疗需要多内脏切除和复杂重建手术的局部晚期结直肠癌。我们假设这些患者可以通过机器人手术方法得到很好的治疗，快速恢复并获得良好的肿瘤学结果。