Cleveland Clinic Abu Dhabi has successfully performed a complex, fully robotic preventive surgery on a 37-year-old woman diagnosed with familial adenomatous polyposis (FAP), a rare genetic condition that carries a nearly 100% risk of developing colon cancer if left untreated. This innovative approach highlights the clinic’s commitment to advanced surgical techniques aimed at preventative healthcare.
Background on Familial Adenomatous Polyposis
The patient, who has a strong family history of colon cancer, lost her father to the disease at a young age. She was diagnosed with familial adenomatous polyposis in early 2025 after a specialised assessment and colonoscopy. Despite experiencing only mild symptoms, the likelihood of cancer was almost certain, highlighting the importance of timely surgical intervention as a preventive measure.
Understanding the Condition and the Need for Surgery
Familial adenomatous polyposis is caused by an inherited mutation in the APC tumour suppressor gene, resulting in the gradual formation of polyps in the colon. Without preventive surgery, these polyps almost invariably develop into colorectal cancer, underscoring the critical need for proactive genetic testing, diagnosis, and early intervention.
Robotic Surgery and its Advantages
The surgery was conducted entirely with robotic assistance, enhancing precision in the confined pelvic area. This advanced technique improves visibility and preserves nerve function, which are vital for maintaining urinary and bowel functions. Additionally, it reduces postoperative pain and accelerates recovery. The technical complexity of the robotic procedure underscores the advanced surgical capabilities available at Cleveland Clinic Abu Dhabi.
Expert Insights on Preventative Healthcare
Dr. John Rodriguez, head of the Gastroenterology Institute at Cleveland Clinic Abu Dhabi, stated, “This is how healthcare should look; we are moving beyond treating illness to preventing it. When we combine early vision and the precision provided by robotics, we not only change outcomes but transform the patient’s life course. Innovation allows us to act precisely and compassionately, empowering us to see danger before it becomes a reality. This is the future we work towards every day.”
Details of the Surgical Procedure
During the procedure, the patient underwent a total colectomy and rectal resection, wherein her entire colon and rectum were removed. A new internal pouch was created from the small intestine to restore bowel function without the need for a permanent external bag. To protect this newly created pouch and ensure proper healing, a temporary ileostomy was necessary for three months following the surgery.
A Successful Recovery Journey
Dr. Ali Al Jabri, a consultant surgeon specialising in colon and rectal surgery at the Gastroenterology Institute, explained that in cases of familial adenomatous polyposis, cancer diagnosis is not a matter of chance but rather a question of time. “Surgically removing the colon before cancer develops transforms a life-threatening diagnosis into a preventable condition. The use of robotic assistance is particularly beneficial for young patients with familial adenomatous polyposis, helping them return to a full, active life while achieving optimal outcomes,” he remarked.
Patient Reflections and Future Outlook
Reflecting on her experience, the patient stated, “In life, there are second chances, and our health is a trust we must uphold. Faith in God, the medical team, and scientific advancement is crucial. If you have a relative diagnosed with colon cancer, it is important to undergo early screening.” Following her initial surgery, she later had a second procedure later that year to close the temporary ileostomy. She has since recovered well and returned to a near-normal routine with her son and family.
Commitment to Excellence in Preventive Care
Cleveland Clinic Abu Dhabi continues to establish its leading position in the region for precise preventive surgical care by marrying advanced robotic capabilities with compassionate, patient-centred care.