Abstract
Background
Transanal minimally invasive surgery is a combination of single-port surgery and transanal surgery and was initially developed as a treatment for rectal tumors. Recently, this approach has also been used for more advanced or extended pelvic surgery.
Methods
We present a surgical video of combined laparoscopic and transperineal endoscopic total pelvic exenteration performed in a male patient with recurrent rectal cancer and discuss the pros and cons of this approach.
Results
The operating time was 775 min and the operative blood loss was 485 ml. The pathology was recurrent adenocarcinoma invading the prostate and urethra with negative surgical margins. The postoperative course was uneventful except for a urinary tract infection that was treated with antibiotics.
Conclusions
The transanal/perineal endoscopic approach may have some benefits for extended pelvic surgery for recurrent rectal cancer.
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References
Atallah S, Martin-Perez B, Albert M, deBeche-Adams T, Nassif G, Hunter L et al (2014) Transanal minimally invasive surgery for total mesorectal excision (TAMIS-TME): results and experience with the first 20 patients undergoing curative-intent rectal cancer surgery at a single institution. Tech Coloproctol 18(5):473–480
Hasegawa S, Okada T, Hida K, Kawada K, Sakai Y (2016) Transperineal minimally invasive approach for extralevator abdominoperineal excision. Surg Endosc 30(10):4620–4621
Chen WT-L, Bansal S, Ke T-W, Chang S-C, Huang Y-C, Kato T et al (2018) Combined repeat laparoscopy and transanal endolumenal repair (hybrid approach) in the early management of postoperative colorectal anastomotic leaks: technique and outcomes. Surg Endosc 32(11):4472–4480
Aiba T, Uehara K, Mukai T, Hattori N, Nakayama G, Nagino M (2018) Transanal extended rectal surgery with lateral pelvic lymph node dissection. Tech Coloproctol 22(11):893–894
Yamaguchi T, Imai M, Uematsu D (2017) Hybrid approach using laparoscopy and transanal minimally invasive surgery to treat rectal cancer with invasion to the seminal vesicles. Asian J Endosc Surg 10(2):219–222
Hasegawa S, Takahashi R, Hida K, Kawada K, Sakai Y (2016) Transanal total mesorectal excision for rectal cancer. Surg Today 46(6):641–653
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All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Hasegawa, S., Kajitani, R., Matsumoto, Y. et al. Combined laparoscopic and transperineal endoscopic total pelvic exenteration for local recurrence of rectal cancer. Tech Coloproctol 24, 599–601 (2020). https://doi.org/10.1007/s10151-020-02187-9
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DOI: https://doi.org/10.1007/s10151-020-02187-9