Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration

Introduction Intensive treatment is typically considered for very high‐risk patients with locally advanced prostate cancer and an expected survival time of 5 years or longer. Herein, we report a case of locally advanced prostate cancer with rectal infiltration treated with laparoscopic total pelvic...

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Main Authors: Ryo Andy Ogasawara, Naoya Okubo, Yasukazu Nakanishi, Naoki Imasato, Kohei Hirose, Madoka Kataoka, Shugo Yajima, Koji Ikeda, Masaaki Ito, Hitoshi Masuda
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:IJU Case Reports
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Online Access:https://doi.org/10.1002/iju5.12674
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author Ryo Andy Ogasawara
Naoya Okubo
Yasukazu Nakanishi
Naoki Imasato
Kohei Hirose
Madoka Kataoka
Shugo Yajima
Koji Ikeda
Masaaki Ito
Hitoshi Masuda
author_facet Ryo Andy Ogasawara
Naoya Okubo
Yasukazu Nakanishi
Naoki Imasato
Kohei Hirose
Madoka Kataoka
Shugo Yajima
Koji Ikeda
Masaaki Ito
Hitoshi Masuda
author_sort Ryo Andy Ogasawara
collection DOAJ
description Introduction Intensive treatment is typically considered for very high‐risk patients with locally advanced prostate cancer and an expected survival time of 5 years or longer. Herein, we report a case of locally advanced prostate cancer with rectal infiltration treated with laparoscopic total pelvic exenteration combined with transanal total mesorectal excision. Case presentation A 73‐year‐old man presented with a ring‐shaped mass around the rectum. He was diagnosed with prostate cancer with rectal infiltration and underwent laparoscopic total pelvic exenteration combined with transanal total mesorectal excision following neoadjuvant androgen deprivation therapy. Twenty‐two months postoperatively during ongoing androgen deprivation therapy, no biochemical recurrence was observed. Conclusion To our knowledge, this is the first report of a laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for prostate cancer with rectal infiltration. We believe this surgery may be considered a new option for high‐risk prostate cancer patients with rectal infiltration.
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spelling doaj.art-ca95606cd14d4d08accf75e7595803872024-01-02T09:18:36ZengWileyIJU Case Reports2577-171X2024-01-0171838610.1002/iju5.12674Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltrationRyo Andy Ogasawara0Naoya Okubo1Yasukazu Nakanishi2Naoki Imasato3Kohei Hirose4Madoka Kataoka5Shugo Yajima6Koji Ikeda7Masaaki Ito8Hitoshi Masuda9Department of Urology National Cancer Center Hospital East Kashiwa JapanDepartment of Urology National Cancer Center Hospital East Kashiwa JapanDepartment of Urology National Cancer Center Hospital East Kashiwa JapanDepartment of Urology National Cancer Center Hospital East Kashiwa JapanDepartment of Urology National Cancer Center Hospital East Kashiwa JapanDepartment of Urology National Cancer Center Hospital East Kashiwa JapanDepartment of Urology National Cancer Center Hospital East Kashiwa JapanDepartment of Colorectal Surgery National Cancer Center Hospital East Kashiwa JapanDepartment of Colorectal Surgery National Cancer Center Hospital East Kashiwa JapanDepartment of Urology National Cancer Center Hospital East Kashiwa JapanIntroduction Intensive treatment is typically considered for very high‐risk patients with locally advanced prostate cancer and an expected survival time of 5 years or longer. Herein, we report a case of locally advanced prostate cancer with rectal infiltration treated with laparoscopic total pelvic exenteration combined with transanal total mesorectal excision. Case presentation A 73‐year‐old man presented with a ring‐shaped mass around the rectum. He was diagnosed with prostate cancer with rectal infiltration and underwent laparoscopic total pelvic exenteration combined with transanal total mesorectal excision following neoadjuvant androgen deprivation therapy. Twenty‐two months postoperatively during ongoing androgen deprivation therapy, no biochemical recurrence was observed. Conclusion To our knowledge, this is the first report of a laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for prostate cancer with rectal infiltration. We believe this surgery may be considered a new option for high‐risk prostate cancer patients with rectal infiltration.https://doi.org/10.1002/iju5.12674laparoscopic surgerymetastasispelvic exenterationprostate cancertransanal endoscopic surgery
spellingShingle Ryo Andy Ogasawara
Naoya Okubo
Yasukazu Nakanishi
Naoki Imasato
Kohei Hirose
Madoka Kataoka
Shugo Yajima
Koji Ikeda
Masaaki Ito
Hitoshi Masuda
Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration
IJU Case Reports
laparoscopic surgery
metastasis
pelvic exenteration
prostate cancer
transanal endoscopic surgery
title Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration
title_full Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration
title_fullStr Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration
title_full_unstemmed Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration
title_short Laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration
title_sort laparoscopic total pelvic exenteration combined with transanal total mesorectal excision for locally advanced prostate cancer with rectal infiltration
topic laparoscopic surgery
metastasis
pelvic exenteration
prostate cancer
transanal endoscopic surgery
url https://doi.org/10.1002/iju5.12674
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