title: Total laparoscopic posterior pelvic exenteration:  a case report of low anterior resection with en bloc partial vaginectomy with sphincter preservation and handsewn coloanal anastomosis for locoregionally advanced carcinoma of rectum invading female genital tract.
abstract: Posterior pelvic exenteration (PPE) has been used as modality of treatment for recurrent or primary cancer of rectum that has invaded into the female genital tract. We report a case of PPE performed for locoregionally advanced carcinoma of rectum invading the uterus; which was performed in a totally laparoscopic manner. The handsewn coloanal anastomosis was performed transrectally thus obviating the need for even a minilaparotomy for abdominal access for specimen retrieval or anastomotic stapler application. This is a first reported case in the literature where a total laparoscopic PPE was performed with successful outcome and oncological adequacy and safety.
authors: Galaxy Care Laparoscopy Institute, Pune, Maharashtra, India. shase63@gmail.com
authors: Shailesh P
authors: SP
authors: Puntambekar
authors: Parag
authors: P
authors: Kumthekar
authors: Geetanjali
authors: G
authors: Agarwal-Joshi
authors: Saurabh
authors: S
authors: Joshi
authors: Akshay
authors: A
authors: Nadkarni
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D001003:Anal Canal / Q000601:surgery; D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009361:Neoplasm Invasiveness; D061646:Operative Time; D059351:Organ Sparing Treatments / Q000379:methods; D010385:Pelvic Exenteration / Q000379:methods*; D012004:Rectal Neoplasms / Q000601:surgery*; D013536:Suture Techniques; D014594:Uterine Neoplasms / Q000601:surgery*