title: [A Case of Advanced Rectal Cancer in Which Combined Prostate Removal and ISR Using the da Vinci Surgical System with Preoperative Chemotherapy Allowed Curative Resection].
abstract: A 53-year-old male presented with a chief complaint of dyschezia.Lower gastrointestinal endoscopy confirmed the presence of a type II tumor in the lower part of the rectum, and a biopsy detected a well-differentiated adenocarcinoma.As invasion of the prostate and levator muscle of the anus was suspected on diagnostic imaging, surgery was performed after preoperative chemotherapy.With no clear postoperative complications, the patient was discharged 26 days after surgery. After 24 months, the number of urination ranged from 1 to 6, with a Wexner score of 6 and a mild desire to urinate in the absence of incontinence.At present, the patient is alive without recurrence.When combined with chemotherapy, robotassisted surgery allows the curative resection of extensive rectal cancer involving the suspected invasion of other organs.In this respect, it is likely to be a useful method to conserve anal and bladder function.
authors.affiliation: Dept. of Gastrointestinal and Pediatric Surgery, Tokyo Medical University.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kawakita
authors.forename: Kenji
authors.initials: K
authors.lastname: Katsumata
authors.forename: Kenta
authors.initials: K
authors.lastname: Kasahara
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kuwabara
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Shigoka
authors.forename: Takaaki
authors.initials: T
authors.lastname: Matsudo
authors.forename: Masanobu
authors.initials: M
authors.lastname: Enomoto
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ishizaki
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hisada
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Kasuya
authors.forename: Akihiko
authors.initials: A
authors.lastname: Tsuchida
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011467:Prostate / Q000473:pathology / Q000601:surgery*; D011468:Prostatectomy; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D065287:Robotic Surgical Procedures