title: Laparoscopic-assisted abdominoperineal resection combined with en-bloc prostatectomy using the trans-sacral approach for locally invasive rectal cancer: A case report.
abstract: Laparoscopic-assisted abdominoperineal resection and en-bloc prostatectomy using the trans-sacral approach for locally invasive rectal cancer that invades only the prostate is useful in order to avoid total pelvic exenteration. The patient was a 63-year-old man with cT4b (prostate) N1M0, stage IIIC rectal cancer. Curative resection was performed. Histopathological findings did not indicate definitive invasion into the prostate gland. The patient was discharged from the hospital on postoperative day 32 with an anastomotic leak and a ureteral catheter. The patient is able to urinate and has had no cancer recurrence. Laparoscopic bladder-preserving surgery for locally invasive rectal cancer can preserve postoperative quality of life and provides oncological curability.
authors.affiliation: Division of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
authors.forename: Jo
authors.initials: J
authors.lastname: Tashiro
authors.affiliation: Division of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
authors.forename: Shigeki
authors.initials: S
authors.lastname: Yamaguchi
authors.affiliation: Division of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Ishii
authors.affiliation: Division of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
authors.forename: Hiroka
authors.initials: H
authors.lastname: Kondo
authors.affiliation: Division of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.
authors.forename: Kiyoka
authors.initials: K
authors.lastname: Hara
mesh_terms: D002277:Carcinoma / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011468:Prostatectomy / Q000379:methods*; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery*
keywords: Laparoscopic abdominoperineal resection; prostatectomy; rectal cancer