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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Combined Laparoscopic and Transperineal Endoscopic Pelvic Tumor Resection with Sacrectomy for Locally Recurrent Rectal Cancer
| Title: | Combined Laparoscopic and Transperineal Endoscopic Pelvic Tumor Resection with Sacrectomy for Locally Recurrent Rectal Cancer |
| Authors: | Matsui, Hiroki Browse this author | | Ichikawa, Nobuki Browse this author | | Homma, Shigenori Browse this author →KAKEN DB | | Yoshida, Tadashi Browse this author | | Emoto, Shin Browse this author | | Imaizumi, Ken Browse this author | | Miyaoka, Yoichi Browse this author | | Taketomi, Akinobu Browse this author →KAKEN DB |
| Keywords: | locally recurrent rectal cancer | | pelvic tumor resection | | distal sacrectomy | | transperineal endoscopy |
| Issue Date: | 29-Jul-2021 |
| Publisher: | Japan Society of Coloproctology |
| Journal Title: | Journal of the Anus Rectum and Colon |
| Volume: | 5 |
| Issue: | 3 |
| Start Page: | 327 |
| End Page: | 333 |
| Publisher DOI: | 10.23922/jarc.2020-050 |
| Abstract: | Pelvic tumor resection with sacrectomy for locally recurrent rectal cancer is a challenging operation with a high complication rate and poor prognosis. We report a case of pelvic tumor resection with sacrectomy by transperineal endoscopy following laparoscopic dissection for locally recurrent rectal cancer. A 70-year-old man underwent laparoscopic abdominoperineal resection for rectal cancer and was diagnosed with local pelvic recurrence on follow-up computed tomography (CT) three years postoperatively. As the recurrence was in contact with the front of the sacrum, we concluded that distal sacrectomy was necessary to ensure a surgical margin. We safely performed combined laparoscopic and transperineal endoscopic pelvic tumor resection with sacrectomy by exposing the surface of the sacrum from both abdominal and transperineal approach. The operative time was 200 minutes, with minimal blood loss. There was no tumor exposure on the surgically dissected surface, and the patient was discharged without complications 14 days postoperatively. Transperineal endoscopy may be useful for pelvic tumor resection with sacrectomy for locally recurrent rectal cancer. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/83014 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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