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

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 suspe...

Full description

Saved in:
Bibliographic Details
Published inGan to kagaku ryoho Vol. 43; no. 12; p. 1629
Main Authors Kawakita, Hideaki, Katsumata, Kenji, Kasahara, Kenta, Kuwabara, Hiroshi, Shigoka, Masatoshi, Matsudo, Takaaki, Enomoto, Masanobu, Ishizaki, Tetsuo, Hisada, Masayuki, Kasuya, Kazuhiko, Tsuchida, Akihiko
Format Journal Article
LanguageJapanese
Published Japan 01.11.2016
Subjects
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - drug therapy
Adenocarcinoma - surgery
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Combined Modality Therapy
Humans
Laparoscopy
Male
Middle Aged
Neoplasm Staging
Prostate - pathology
Prostate - surgery
Prostatectomy
Rectal Neoplasms - diagnostic imaging
Rectal Neoplasms - drug therapy
Rectal Neoplasms - pathology
Rectal Neoplasms - surgery
Robotic Surgical Procedures
Online AccessGet more information

Cover

More Information
Summary: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.
ISSN:0385-0684