Transanal total pelvic exenteration in the prone jackknife position for rectal cancer invading the bladder, seminal vesicles, and small intestine

2020 ◽  
Author(s):  
Takuya Yamaguchi ◽  
Dai Uematsu ◽  
Minoru Imai ◽  
Gaku Akiyama
Keyword(s):  
Rectal Cancer ◽  
Small Intestine ◽  
Pelvic Exenteration ◽  
Seminal Vesicles ◽  
Total Pelvic Exenteration ◽  
Prone Jackknife Position

Combined laparoscopic and transperineal endoscopic total pelvic exenteration for local recurrence of rectal cancer

2020 ◽  
Vol 24 (6) ◽  
pp. 599-601
Author(s):  
S. Hasegawa ◽  
R. Kajitani ◽  
Y. Matsumoto ◽  
T. Ohmiya ◽  
H. Nagano ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Pelvic Exenteration ◽  
Total Pelvic Exenteration ◽  
Recurrence Of Rectal Cancer

scholarly journals Laparoscopic Total Pelvic Exenteration for Locally Advanced or Recurrent Rectal Cancer

2019 ◽  
Vol 72 (10) ◽  
pp. 559-566
Author(s):  
Kei Kimura ◽  
Masataka Ikeda ◽  
Jihyung Song ◽  
Michiko Hamanaka ◽  
Akihito Babaya ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Pelvic Exenteration ◽  
Locally Advanced ◽  
Recurrent Rectal Cancer ◽  
Total Pelvic Exenteration

Single-Incision Plus One Port Laparoscopic Total Pelvic Exenteration After Neoadjuvant Chemotherapy for Advanced Primary Rectal Cancer: A Case Report

2015 ◽  
Vol 100 (9-10) ◽  
pp. 1265-1270 ◽  
Author(s):  
Masayoshi Tokuoka ◽  
Yoshihito Ide ◽  
Hiroyuki Yamato ◽  
Mamoru Uemura ◽  
Yasuji Hashimoto ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Neoadjuvant Chemotherapy ◽  
Pelvic Exenteration ◽  
Single Incision ◽  
Advanced Rectal Cancer ◽  
Single Incision Laparoscopic Surgery ◽  
Moderate Degree ◽  
Total Pelvic Exenteration ◽  
Promising Alternative ◽  
The Right

Limited data on laparoscopic and robotic total pelvic exenteration (TPE) for gynecologic, urologic, and rectal malignancies have been published in the literature. Single-incision laparoscopic surgery (SILS) has been successfully introduced for colon cancer. Here, we describe our experience of TPE with SILS + 1 port (SILS+1) for advanced rectal cancer. A 64-year-old man was referred to our hospital with anemia. Computed tomography (CT) revealed a rectal tumor that was contiguous with the seminal vesicle and bladder. Rectoscopy revealed an ulcerated, bleeding, and stricturing lesion in the rectum, which was defined as an adenocarcinoma with a moderate degree of differentiation on histologic examination. The patient received neoadjuvant chemotherapy using capecitabine, oxaliplatin, and bevacizumab. After 3 courses of chemotherapy, a rectovesical fistula was suspected from examination of CT images. CT demonstrated intramural gas in the urinary bladder, which suggested a diagnosis of emphysematous cystitis. Thus, we constructed a transverse loop colostomy. Two months after the last administration of chemotherapy, we performed SILS+1 TPE. The procedure involved a 35-mm incision in the right side of the umbilicus for the insertion of a single multichannel port, and insertion of a 12-mm port into the right lower quadrant. Total operating time was 751 minutes, and estimated blood loss was 1100 mL (including urine). SILS+1 TPE is a technically promising alternative method for the treatment of selected patients with advanced rectal cancer.

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