Transcontinental Telementoring of Abdominal Perineal Resection for Rectal Malignancy Complicated by Pelvic Kidney
Abstract
Background: Telementoring has emerged as a tool for bridging gaps in surgical mentorship and expertise. Its use in robotic colorectal surgery remains limited.
Case presentation: We report the first documented case of a robot-assisted abdominoperineal resection (APR) for rectal cancer, technically complicated by the presence of a pelvic left kidney, performed under real-time, transcontinental telementoring between China and Eastern Europe. A 61-year-old male with rectal adenocarcinoma extending to the anal canal underwent neoadjuvant chemoradiation followed by robotic APR using the da Vinci X system. Telementoring was achieved through the Proximie® platform between China and Eastern Europe. The telecommunication connection was stable, enabling real-time audio-visual and augmented-reality communications. The safety and efficiency of the surgical procedure were improved by the telementoring, and the patient recovered uneventfully and was discharged on postoperative day 5.
Conclusion: This unique case demonstrates the technical feasibility, patient safety, and clinical utility of transcontinental telementoring in complex robotic colorectal surgery, which allows expanded global access to surgical mentorship and expertise.
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