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rectal cancer with combined resection of other organs is increasing gradually, with most procedures performed using the da Vinci Surgical System. The hinotori Surgical Robot System, developed in Japan, was approved for gastrointestinal surgery and gynecology in 2022. Here, we report the first case of en-bloc rectal resection with hysterectomy using the hinotori Surgical Robot System. A 77-year-old woman was referred to our institution with a diagnosis of rectal cancer (cT4bN1bM1a), with uterine invasion and a resectable liver metastasis. We performed rectal resection with total hysterectomy and bilateral salpingo-oophorectomy using the hinotori Surgical Robot System. Two surgical teams, a gastroenterological team and a gynecological team, performed en-bloc resection of the rectum and uterus. Because of in-depth consultation between the teams, the operation was performed safely with no unplanned additional ports, robotic arm interference or arm collision with the assistant surgeon. Including the preceding stoma closure, the operative time was 473 minutes, and blood loss was 60 mL. The patient experienced no complications ≥ Clavien–Dindo classification grade III. Robot-assisted extended surgery for locally advanced rectal cancer using the hinotori Surgical Robot System can be performed safely, which may lead to an expanded treatment option in the future.","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_30002_file35":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-06-02"}],"displaytype":"detail","fileDate":[{"fileDateType":"Issued","fileDateValue":"2025-05-27"}],"filename":"yam68(2)_152.pdf","filesize":[{"value":"3.1 MB"}],"format":"application/pdf","license_note":"(C) 2025 Tottori University Medical Press","licensetype":"license_note","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://repository.lib.tottori-u.ac.jp/record/2001876/files/yam68(2)_152.pdf"},"version_id":"be175963-64c7-40eb-909c-4ada374a7eb0"}]},"item_30002_heading36":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"Patient Report","subitem_heading_language":"en"}]},"item_30002_language12":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_30002_publisher10":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Tottori University Medical Press","subitem_publisher_language":"en"}]},"item_30002_relation18":{"attribute_name":"関連情報","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.33160/yam.2025.05.005","subitem_relation_type_select":"DOI"}},{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.lib.tottori-u.ac.jp/yam/yam/yam68-2/68-2contents.html","subitem_relation_type_select":"URI"}}]},"item_30002_resource_type13":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_30002_rights6":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"(C) 2025 Tottori University Medical Press","subitem_rights_language":"en"}]},"item_30002_source_identifier22":{"attribute_name":"収録物識別子","attribute_value_mlt":[{"subitem_source_identifier":"05135710","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"13468049","subitem_source_identifier_type":"EISSN"}]},"item_30002_subject8":{"attribute_name":"主題","attribute_value_mlt":[{"subitem_subject":"hinotori Surgical Robot System","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"rectal cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"robotic surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_30002_title0":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Rectal Resection with Hysterectomy for Locally Advanced Rectal Cancer Using the  hinotori Surgical Robot System : The First Ever Case Report","subitem_title_language":"en"}]},"item_30002_version_type15":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_title":"Rectal Resection with Hysterectomy for Locally Advanced Rectal Cancer Using the  hinotori Surgical Robot System : The First Ever Case Report","item_type_id":"30002","owner":"85","path":["9","12","1758242795228"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-06-02"},"publish_date":"2025-06-02","publish_status":"0","recid":"2001876","relation_version_is_last":true,"title":["Rectal Resection with Hysterectomy for Locally Advanced Rectal Cancer Using the  hinotori Surgical Robot System : The First Ever Case Report"],"weko_creator_id":"85","weko_shared_id":-1},"updated":"2025-10-01T04:49:29.295835+00:00"}