Successful resection of a rectal gastrointestinal stromal tumor using a transperineal approach: a case report.

Autor: Endo, Yoki, Fukuoka, Tatsunari, Ozawa, Shintaro, Ishidate, Takemi, Yonemitsu, Ken, Seki, Yuki, Kasashima, Hiroaki, Miki, Yuichiro, Yoshii, Mami, Tamura, Tatsuro, Shibutani, Masatsune, Toyokawa, Takahiro, Lee, Shigeru, Maeda, Kiyoshi
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Zdroj: Surgical Case Reports; 9/10/2024, Vol. 10 Issue 1, p1-5, 5p
Abstrakt: Background: Rectal gastrointestinal stromal tumors (GISTs) complicate surgical approaches because of their anatomical position. We herein report a patient with rectal GIST on the anterior wall of the lower rectum, hat was successfully resected using a transperineal approach. Case presentation: This report describes a unique case of a 73-year-old man who was diagnosed with rectal GIST on the anterior wall of the lower rectum. The tumor was located within 3 cm of the anal verge, a location that would require highly invasive surgery. A transperineal approach was planned to preserve the anal function. Under general anesthesia, the patient was placed in a lithotomy position and a Mercedes-Benz incision was made in the perineum. Excision of the tumor was performed. The post-operative course was uneventful, and the patient remained free from recurrence. Conclusion: This case highlights the importance of performing minimally invasive and safe surgery. With some surgical refinements, a transperineal approach may be an option for surgical procedures in patients with rectal GIST on the anterior wall of the lower rectum. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index