Transanal total pelvic exenteration in the prone jackknife position for rectal cancer invading the bladder, seminal vesicles, and small intestine

• Published in: Asian journal of endoscopic surgery Vol. 14; no. 1; pp. 90 - 93
• Main Authors: Yamaguchi, Takuya, Uematsu, Dai, Imai, Minoru, Akiyama, Gaku
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01.01.2021; Wiley Subscription Services, Inc
• Subjects: Colorectal cancer; Laparoscopy; prone jackknife position; rectal cancer; Small intestine; Surgery; TaTPE; TaTPE; prone jackknife position; rectal cancer
• DOI: 10.1111/ases.12807
• ISSN: 1758-5902

A 58‐year‐old man had rectal cancer directly invading the urinary bladder and small intestine, without distant metastasis. We successfully performed complete resection using a hybrid approach, including laparoscopic surgery and transanal total pelvic exenteration (TaTPE) with the patient in the prone jackknife (PJK) position. In the PJK position, gravity and pelvic morphology lead to a clear and wide surgical field. This case demonstrates that total pelvic exenteration using laparoscopic surgery and TaTPE in the PJK position provides a better surgical field than either TaTPE or laparoscopic surgery in the supine position. TaTPE in the PJK position may also be useful for curative surgery in locally advanced rectal cancer.