13/05/2026
75-year-old male patient presented with pain in abdomen and anemia. Colonoscopy revealed a lesion involving the ileocecal junction and caecum, and biopsy confirmed poorly differentiated adenocarcinoma of the right colon.
PET-CT showed an FDG-avid circumferential lesion involving the terminal ileum, IC junction, and caecum, with extension into the proximal ascending colon, associated mesenteric fat stranding, metastatic mesenteric lymph nodes, and a large necrotic metastatic deposit in the right iliac fossa adjacent to the primary tumor.
After detailed evaluation, the patient underwent robotic-assisted right hemicolectomy with Complete Mesocolic Excision (CME) and Central Vascular Ligation (CVL). The postoperative recovery was uneventful, and he was discharged in stable condition on postoperative day 4.
Final histopathology revealed pT4aN2a poorly differentiated adenocarcinoma, involving the ileocecal junction and caecum with infiltration into pericolic tissue and serosa. Four out of twelve lymph nodes showed metastatic involvement.
This case highlights that even in elderly patients with advanced colon cancer, a robotic surgical platform can provide superior precision with minimal incisions, resulting in smoother postoperative recovery and enhanced surgical outcomes.
