Distal sacrectomy for recurrent rectal cancer
DOI:
https://doi.org/10.32471/exp-oncology.2312-8852.vol-43-no-4.16794Keywords:
distal sacrectomy, locally advanced rectal cancer, recurrent rectal cancerAbstract
Summary. Surgical treatment of recurrent rectal tumors is a challenge for cancer surgeons. Due to the high risk of intraoperative and postoperative complications, such tumors are often considered inoperable. We present a clinical case of 56-years-old male patient with local recurrence and pathological fracture of the sacrum at S5 level to whom en-bloc distal sacrectomy was performed. Such surgical technique for recurrence of rectal cancer provides significant improvement in local and general condition and creates a favorable prognosis for the patient’s survival, which is demonstrated by the described clinical case.
References
Lee DJK, Sagar PM, Sadadcharam G, Tan KY. Advances in surgical management for locally recurrent rectal cancer: How far have we come? World J Gastroenterol 2017; 23: 4170–80. https://doi.org/10.3748/wjg.v23.i23.4170
Hogan NM, Joyce MR. Surgical management of locally recurrent rectal cancer. Int J Surg Oncol 2012; 2012: 464380. https://doi.org/10.1155/2012/464380
Westberg K, Palmer G, Hjern F, et al. Population-based study of surgical treatment with and without tumour resection in patients with locally recurrent rectal cancer. Br J Surg 2019; 106: 790–8. https://doi.org/10.1002/bjs.11098
Tsarkov PV, Efetov SK, Tulina IA, et al. Sacral resection in surgical treatment of locally advanced primary and recurrent rectal and anal cancer: short-term outcomes. Pirogov Rus J Surgery 2017; 7: 4–13 (in Russian). https://doi.org/10.17116/hirurgia201774-13
Melich G, Weber M, Stein B, et al. Total sacrectomy for recurrent rectal cancer — A case report featuring technical details and potential pitfall. Int J Surg Case Rep 2014; 5: 403–7. https://doi.org/10.1016/j.ijscr.2014.04.026
Bhangu A, Brown G, Akmal M, Tekkis P. Outcome of abdominosacral resection for locally advanced primary and recurrent rectal cancer. Br J Surg 2012; 99: 1453–61. https://doi.org/10.1002/bjs.8881
Bosman SJ, Vermeer TA, Dudink RL, et al. Abdominosacral resection: Long-term outcome in 86 patients with locally advanced or locally recurrent rectal cancer. Eur J Surg Oncol 2014; 40: 699–705. https://doi.org/10.1016/j.ejso.2014.02.233
Dozois EJ, Privitera A, Holubar DS, et al. High sacrectomy for locally recurrent rectal cancer: can long-term survival be achieved? J Surg Oncol 2011; 103: 105–9. https://doi.org/10.1002/jso.21774
Tsarkov PV, Efetov SK, Tulina IA, Sidorova LV. Technique of sacrectomy at the combined operations for locally advanced rectal cancer. Ross Zh Gastroenterol Hepatol Coloproctol 2016; 26: 92–8 (in Russian). https://doi.org/10.22416/1382-4376-2016-26-5-92-98
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Experimental Oncology
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
