-
Views
-
Cite
Cite
Keisuke Uehara, Yuichiro Yoshioka, Yoshiro Taguchi, Tsuyoshi Igami, Tomoki Ebata, Yukihiro Yokoyama, Gen Sugawara, Satoshi Tsukushi, Yoshihiro Nishida, Yasushi Yoshino, Masato Nagino, Locally Recurrent Rectal Cancer Successfully Treated by Total Pelvic Exenteration with Combined Ischiopubic Rami Resection: Report of a Case, Japanese Journal of Clinical Oncology, Volume 42, Issue 1, January 2012, Pages 58–62, https://doi.org/10.1093/jjco/hyr169
- Share Icon Share
Abstract
A combined ischiopubic rami resection is extremely rare in the field of gastroenterologic surgery. We report a case of a locally recurrent rectal cancer that was successfully treated by total pelvic exenteration with combined ischiopubic rami resection. A 58-year-old male with locally recurrent rectal cancer and liver metastases was referred to our hospital. Computed tomography and magnetic resonance imaging showed a perineal tumor, which had invaded the prostate, urethra, and obturator internus muscle, and two liver metastases. Because the perineal tumor was very close to the dorsal vein complex and the pubic symphysis, it was considered difficult to approach and divide the dorsal vein complex, and still retain oncologic safety. To achieve R0 resection, total pelvic exenteration with ischiopubic rami resection, total emasculation and partial liver resection were performed. Pathological examination revealed that surgical margins were negative for cancer cells. Although reconstruction of the pelvic ring was not performed, his ambulatory function had recovered to an almost normal status at 6 months after the operation.
- magnetic resonance imaging
- computed tomography
- hepatic resection
- pelvic exenteration
- anogenital region
- symphysis pubis
- reconstructive surgical procedures
- safety
- surgical procedures, operative
- neoplasms
- pelvis
- prostate
- surgery specialty
- urethra
- liver metastases
- obturator internus muscle
- surgical margins
- recurrent rectal cancer
- dorsal vein
- tumor cells, malignant