ID 112057
Title Alternative
Laparoscopic total pelvic exenteration for anal canal cancer with distant metastasis : a case report
肛門管癌に対する腹腔鏡下骨盤内臓器全摘術
Author
Aibara, Norimasa Ehime Prefectural Central Hospital
Hotchi, Masanori Ehime Prefectural Central Hospital
Watanabe, Miya Ehime Prefectural Central Hospital
Okikawa, Shohei Ehime Prefectural Central Hospital
Utsunomiya, Daichi Ehime Prefectural Central Hospital
Shinne, Mikiya Ehime Prefectural Central Hospital
Obatake, Masayoshi Ehime Prefectural Central Hospital
Kotegawa, Hiroshi Ehime Prefectural Niihama Hospital
Yoshiyama, Hirotsugu Ehime Prefectural Central Hospital
Kawasaki, Hideki Ehime Prefectural Central Hospital
Keywords
total pelvic exenteration
laparoscopic surgery
colorectal cancer
Content Type
Journal Article
Description
A 83-year-old man with chief complaints of anal pain and disability to take a seat was diagnosed as anal cancer (tub1) and visited our hospital. CT and MRI examinations show tumor, from anal canal to lower rectum, with invasion to levator ani muscle, external anal sphincter and prostate. Furthermore three lung metastases in the upper lobes of the lung were suspected. We diagnosed to be resectable lung metastases, and performed laparoscopic total pelvic exenteration with lymph node dissection D2. An ileal conduit was constructed extracorporeally via an umbilical incision. There were no conversion to laparotomy and intraoperative complications. The total operating time was 424 minutes, with an estimated blood loss of 140 ml. Postoperative complication was only ileus treated conservatively. Preoperative chief complaints promptly disappeared after operation. Opportunities to treat pulmonary metastasis of colorectal cancer have been increasing with a rise in primary diseases and advances in chemotherapy. To our knowledge, this is the first report of palliative laparoscopic total pelvic exenteration for advanced anal cancer with distant metastasis.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
73
Issue
5-6
Start Page
293
End Page
300
Sort Key
293
Published Date
2017-12-25
Remark
著者英表記誤記あり(誤)Mikiya Shinne→(正)Mikiya Shine
FullText File
language
jpn
TextVersion
Publisher