Cleveland Clinic Abu Dhabi uses robotic surgery in preventive colorectal cancer procedure

Cleveland Clinic Abu Dhabi has performed a fully robotic operation on a 37-year-old woman with Familial Adenomatous Polyposis (FAP), an inherited condition associated with an almost 100% lifetime risk of colorectal cancer if left untreated.

The procedure involved removing the patient’s colon and rectum before cancer developed, while reconstructing her digestive tract to preserve bowel function. The case highlights the application of robotic-assisted surgery in complex preventive procedures for patients with a high inherited risk of cancer.

FAP is caused by mutations in the APC tumour suppressor gene, which lead to the development of multiple polyps in the colon. Without appropriate intervention, these polyps can progress to colorectal cancer. Preventive surgery is an established treatment option for people with the condition.

The patient was diagnosed with FAP following specialist assessment and colonoscopy after losing her father to colon cancer. Although she had experienced only mild symptoms, she opted for surgery to reduce her future cancer risk.

The operation, known as a total proctocolectomy with ileal pouch-anal anastomosis, involved removing the colon and rectum and creating an internal pouch from the small intestine to restore bowel function. A temporary ileostomy was also created to allow the surgical connection to heal.

According to the hospital, the procedure was performed entirely using robotic technology. The approach provided enhanced visualisation and precision in the confined pelvic area, where nerve preservation is important for maintaining urinary and bowel function.

The patient subsequently underwent a second operation to reverse the temporary ileostomy, which had been in place for three months. She has since recovered and returned to a near-normal lifestyle, according to the hospital.