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Case Reports
. 2015 Apr 9;5(1):20-25.
doi: 10.1007/s13691-015-0218-6. eCollection 2016 Jan.

The short term feasibility of abdominoperineal resection with prostatectomy for locally advanced rectal cancer: open and laparoscopic cases report

Ryota Nakanishi  1 , Ikuo Takahashi  1 , Yuichiro Kajiwara  1 , Takashi Motomura  1 , Yoshihiko Fujinaka  1 , Shin-Ichiro Maehara  1 , Takuya Honboh  1 , Yuji Soejima  1 , Takashi Nishizaki  1 , Akira Yano  2 , Takatoshi Tacho  2
Affiliations
Case Reports

The short term feasibility of abdominoperineal resection with prostatectomy for locally advanced rectal cancer: open and laparoscopic cases report

Ryota Nakanishi et al. Int Cancer Conf J. .

Abstract

Total pelvic exenteration is often selected for advanced rectal cancer with prostatic invasion. The aim of this study was to evaluate the short term feasibility of the abdominoperineal resection with prostatectomy for locally advanced rectal cancer. We performed abdominoperineal resection with prostatectomy for 3 patients with locally advanced rectal cancer, including 2 patients by totally laparoscopic procedure. Patients' background, intra- and postoperative factors and short-term prognosis were evaluated. All patients underwent complete resection of primary tumor with negative surgical margins. We could perform the surgery by both open and laparoscopic procedure in collaboration with urologist. There was no operation related mortality. One patient who was treated by open procedure had urinary anastomotic leakage. No patient had recurrenced, but one patient died of other disease. Our experience suggests that open or laparoscopic abdominoperineal resection with prostatectomy could be an alternative to total pelvic exenteration for the patients with rectal cancer invading the prostate. The collaboration with the urologist would be important to perform quality-controlled surgery.

Keywords: Circumferential resection margin; Laparoscopic surgery; Radial prostatectomy; Rectal cancer.

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Figures

Fig. 1
Fig. 1
The surgeon should stop the dissection of the anterior wall of the rectum not to expose the rectal cancer after cutting the peritoneum at the peritoneal reflection. R rectum, UB urinary bladder, Broken line peritoneal reflection
Fig. 2
Fig. 2
Line of resection around urinary bladder and prostate in the abdominoperineal resection with prostatectomy. P prostate, T tumor, R rectum, UB urinary bladder, SV seminal vesicle
Fig. 3
Fig. 3
The specimen of the patients. Broken and solid lines represent the margin of the rectal cancer and the prostate cancer, respectively. a Patient no. 1. b Patient no. 2. c Patient no. 3. P prostate, SV seminal vesicle
See this image and copyright information in PMC

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