Report of a Long-term Disease Free Survivor after Sacropelvic Exenteration for Locally Recurrent Rectal Cancer.

概要

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We carried out a sacropelvic exenteration for a locally recurrent rectal cancer. The patient is living without disease more than 56 months after the surgery.<BR>A 56 year-old male underwent an abdomino-perineal resection for rectal cancer at a private hospital in 1984. He began to notice a dull-pain around the perineum nearly a year after the operation and then visited our Center in 1986. His pelvic CT-scans showed a locally recurrent rectal cancer invading into the pelvic wall and sacrum. Total pelvic exenteration with sacrecomy (below S2) was performed on November 1986. He was able to walk without help immediately after the operation, and his quality of life was improved immensely.<BR>We considered this case represented a significant benefit of sacropelvic exenteration for locally recurrent rectal cancer. And the presented case is one of the longest disease-free-survivor among the patients who underwent this extremely radical procedure.
日本大腸肛門病学会の論文