Laparoscopic abdominoperineal resection combined with prostatectomy for rectal cancer invading the prostate : a case report Ryota NAKANISHI 1 , Ikuo TAKAHASHI 1 , Yoshihiko FUJINAKA 1 , Koujiro NISHIDA 1 , Takashi NISHIZAKI 1 , Akira YANO 2 1Department of Surgery, Matsuyama Red Cross Hospital 2Department of Urology, Matsuyama Red Cross Hospital Keyword: 直腸癌 , 腹腔鏡下手術 , 前立腺合併切除 pp.199-204
Published Date 2014/3/15
DOI https://doi.org/10.11477/mf.4426101075
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A 80-year-old man who was suffering from melena was diagnosed with type 2 rectal cancer by colonofiberscopy. Computed tomography and magnetic resonance imaging revealed tumor invasion of the prostate. We performed abdominoperineal resection, prostatectomy, and urethral reconstruction by laparoscopy alone. The patient was discharged from our hospital 14 days after surgery without any complications or urinary dysfunction. At the time of drafting this report, the patient has been alive for 6 months after surgery without cancer recurrence. Histopathological examination revealed prostatic invasion of rectal cancer as well as locally advanced prostate cancer. Our experience with this case suggests that laparoscopic abdominoperineal resection combined with prostatectomy is a useful surgical procedure for rectal cancer invading the prostate.

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