Successful treatment of recurrent rectal implantation metastasis of ovarian cancer by natural orifice specimen extraction surgery: a case report

We first describe the application of natural orifice specimen extraction surgery in the treatment of a rectal implantation metastasis tumor from ovarian cancer. One patient diagnosed with recurrent rectal implantation metastasis 1 year after the removal of ovarian cancer successfully underwent trans...

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Bibliographic Details
Published in:OncoTargets and therapy 2018-01, Vol.11, p.5925-5931
Main Authors: Su, Hao, Li, Bin, Ren, Wenhao, Bao, Mandula, Wang, Peng, Liu, Qian, Wang, Xishan, Zhou, Zhixiang, Zhou, Haitao
Format: Article
Language:English
Subjects:
Abdomen
Cancer metastasis
Cancer patients
Cancer surgery
Care and treatment
Case Report
Case reports
Chemotherapy
Colorectal cancer
Colorectal surgery
Endoscopy
Family medical history
Health aspects
Laparoscopy
Lymphatic system
Medical imaging
Medical schools
Metastasis
NMR
Nuclear magnetic resonance
Ovarian cancer
Pathology
Patients
Surgery
Tomography
Tumors
Ultrasonic imaging
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Summary:We first describe the application of natural orifice specimen extraction surgery in the treatment of a rectal implantation metastasis tumor from ovarian cancer. One patient diagnosed with recurrent rectal implantation metastasis 1 year after the removal of ovarian cancer successfully underwent transanal specimen extraction via laparoscopic rectectomy without an abdominal incision at the National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College in March 2017. The operation time was 118 minutes, and the intraoperative blood loss was 5 mL. The specimen was extracted via the anus during the operation, and the resection margin was negative. The patient recovered well without complications. Anal function was normal, and the stoma and abdominal incision were well healed after 1 month of follow-up. This study supports the idea that the application of natural orifice specimen extraction surgery for rectal implantation metastasis from ovarian cancer is safe and feasible and can achieve satisfactory outcomes.
ISSN:1178-6930
1178-6930
DOI:10.2147/OTT.S166535