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Para-sacral approach for large gastrointestinal stromal tumor of the lower rectum

International Cancer Conference Journal volume 7, pages 40–42 (2018)Cite this article

Abstract

Rectal gastrointestinal stromal tumor (GIST) is comparatively rare and usually already large when detected. As resection is the main therapy for patients with primary resectable GIST, the surgical procedure must be tailored to the tumor status. For GISTs of the lower rectum, laparoscopic low anterior resection or abdominoperineal resection is one of the procedures of choice. However, rectal tumor, including rectal GIST, can also be surgically treated using a variety of posterior approaches. Of these, para-sacral approach is both simple and less invasive, even for large rectal GISTs, and provides a good view of the operative field. Here, we describe our procedure for the surgical treatment of large GISTs of the lower rectum.

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Fig. 1
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Abbreviations

GIST:

Gastrointestinal stromal tumors

LAR:

Low anterior resection

APR:

Abdominoperineal resection

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Affiliations

  1. Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan

    Ryuma Tokunaga, Yasuo Sakamoto, Shigeki Nakagawa, Yuji Miyamoto, Naoya Yoshida & Hideo Baba

Authors
  1. Ryuma Tokunaga
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  2. Yasuo Sakamoto
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  3. Shigeki Nakagawa
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  4. Yuji Miyamoto
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  5. Naoya Yoshida
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  6. Hideo Baba
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Corresponding author

Correspondence to Hideo Baba.

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Conflict of interest

The authors have no conflicts of interest to declare. No financial support was received for the work described in this manuscript.

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Tokunaga, R., Sakamoto, Y., Nakagawa, S. et al. Para-sacral approach for large gastrointestinal stromal tumor of the lower rectum. Int Canc Conf J 7, 40–42 (2018). https://doi.org/10.1007/s13691-017-0314-x

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  • DOI: https://doi.org/10.1007/s13691-017-0314-x

Keywords

  • Para-sacral approach
  • Gastrointestinal stromal tumor
  • Lower rectum