Laparoscopic assisted intersphincteric resection following preoperative chemoradiation therapy for locally advanced lower rectal cancer: report of a case.
Laparoscopy-assisted surgery for rectal surgery has been shown to be both technically feasible and a safe alternative to laparotomy. It can be combined with preoperative chemoradiation and sphincter preserving operation for advanced low rectal cancer. We report a case of advanced lower rectal cancer, which was treated with laparoscopy-assisted total mesorectal excision and intersphincteric resection (abdomino-anal resection with coloanal anastomosis) following preoperative chemoradiation. In this patient, preoperative chemoradiation was very effective and no cancer cells remained in resected specimens.
Fujimoto
Yoshiya
Y
Department of Gastroenterological Surgery, Cancer Institute Hospital, Tokyo, Japan. yoshiya.fujimoto@jfcr.or.jp
Oya
Masatoshi
M
Kuroyanagi
Hiroya
H
Ueno
Masashi
M
Yamaguchi
Toshiharu
T
Muto
Tetsuichiro
T
D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D017024:Chemotherapy, Adjuvant; D003113:Colonoscopy; D003131:Combined Modality Therapy; D005472:Fluorouracil / Q000008:administration & dosage; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed
D000964:Antimetabolites, Antineoplastic; D005472:Fluorouracil