title: [A case of total pelvic exenteration and reconstruction of perianal skin defect using a VY advancement of bilateral gluteus maximus musculocutaneous flaps for anal canal cancer associated with anal fistula].
abstract: A 53-year-old man, who was diagnosed as having an anal canal cancer associated with anal fistula, was introduced to our hospital. By CT and MRI examination, fluid collections were detected in the perirectal space and fistula was connected to bladder. Total pelvic exenteration was performed under the consideration of keeping the margin for the large skin defect. We reconstructed the perianal skin defect using a VY advancement of bilateral gluteus maximus musculocutaneous flaps. After the surgery, no sign of recurrence has been observed in 1 year and 4 months. This constructive technique was effective for anal defects.
authors.affiliation: Dept. of Surgery, National Hospital Organization, Osaka National Hospital.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ikenaga
authors.forename: Michihiko
authors.initials: M
authors.lastname: Miyazaki
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Yasui
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mishima
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsujie
authors.forename: Atsushi
authors.initials: A
authors.lastname: Miyamoto
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hirao
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Fujitani
authors.forename: Shoji
authors.initials: S
authors.lastname: Nakamori
authors.forename: Sumiko
authors.initials: S
authors.lastname: Yoshitatsu
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Tsujinaka
mesh_terms: D001005:Anus Neoplasms / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010385:Pelvic Exenteration; D019651:Plastic Surgery Procedures / Q000379:methods; D012003:Rectal Fistula / Q000150:complications / Q000601:surgery*; D013524:Surgical Flaps; D001747:Urinary Bladder Fistula / Q000150:complications / Q000601:surgery