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

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 pron...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2021-01, Vol.14 (1), p.90-93
Main Authors: Yamaguchi, Takuya, Uematsu, Dai, Imai, Minoru, Akiyama, Gaku
Format: Article
Language:English
Subjects:
Colorectal cancer
Laparoscopy
prone jackknife position
rectal cancer
Small intestine
Surgery
TaTPE
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Description
Summary: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.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12807