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Laparoscopic Pelvic Exenteration with Bladder Sparing for Men with Locally Advanced Rectal Cancer (with Video)

  • Colorectal Cancer
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Objective

The aim of this article was to introduce a fascial space priority approach for laparoscopic pelvic exenteration (PE) with bladder-sparing for men with locally advanced rectal cancer.

Methods

We present a video of bladder-sparing laparoscopic PE with fascial space priority approach in a 70-year old man. The systematic de-arterialization of the prostate on the basis of complete separation of the avascular lateral pelvic spaces is introduced in detail.

Results

The operation time was 360 min and the estimated intraoperative blood loss was 50 mL. The postoperative course was uneventful and the patient was discharged on postoperative day 14. Histopathological examination showed all margins to be tumor-free.

Conclusions

Bladder-sparing laparoscopic PE using a fascial space priority approach is a feasible and safe procedure that can be performed in well-selected patients following neoadjuvant chemoradiotherapy. Extensive multivisceral resection is possible without a permanent stoma.

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Funding

Project of Tianjin Health Committee (ZC20081).

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Authors and Affiliations

  1. Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China

    Yi Sun MM, Hongjie Yang MM, Zhichun Zhang MM, Yuanda Zhou MM, Peng Li MM, Qingsheng Zeng MM, Wenzheng Fu MD & Xipeng Zhang MB

Authors
  1. Yi Sun MM
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  2. Hongjie Yang MM
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  3. Zhichun Zhang MM
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  4. Yuanda Zhou MM
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  5. Peng Li MM
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  6. Qingsheng Zeng MM
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  7. Wenzheng Fu MD
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  8. Xipeng Zhang MB
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Corresponding author

Correspondence to Xipeng Zhang MB.

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Disclosures

There are no conflicts of interest.

Ethical approval

All human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1965 Declaration of Helsinki.

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Cite this article

Sun, Y., Yang, H., Zhang, Z. et al. Laparoscopic Pelvic Exenteration with Bladder Sparing for Men with Locally Advanced Rectal Cancer (with Video). Ann Surg Oncol 29, 3067–3068 (2022). https://doi.org/10.1245/s10434-021-11222-4

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  • DOI: https://doi.org/10.1245/s10434-021-11222-4

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