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Surg Laparosc Endosc Percutan Tech. 2013 Feb;23(1):e22-3. doi: 10.1097/SLE.0b013e318265a2db.

Total laparoscopic posterior pelvic exenteration: a case report of low anterior resection with en bloc partial vaginectomy with sphincter preservation and handsewn coloanal anastomosis for locoregionally advanced carcinoma of rectum invading female genital tract.

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  • 1Galaxy Care Laparoscopy Institute, Pune, Maharashtra, India. shase63@gmail.com

Abstract

Posterior pelvic exenteration (PPE) has been used as modality of treatment for recurrent or primary cancer of rectum that has invaded into the female genital tract. We report a case of PPE performed for locoregionally advanced carcinoma of rectum invading the uterus; which was performed in a totally laparoscopic manner. The handsewn coloanal anastomosis was performed transrectally thus obviating the need for even a minilaparotomy for abdominal access for specimen retrieval or anastomotic stapler application. This is a first reported case in the literature where a total laparoscopic PPE was performed with successful outcome and oncological adequacy and safety.

PMID:
23386166
[PubMed - indexed for MEDLINE]
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