Partial anterior sacrectomy with nerve preservation to treat locally advanced rectal cancer.
Colorectal Dis
; 15(6): e336-9, 2013 Jun.
Article
en En
| MEDLINE
| ID: mdl-23506205
ABSTRACT
AIM:
Most studies that have reported outcomes after composite abdomino-sacral resection for locally advanced/recurrent rectal cancer have involved resections below the S2/3 disc space. Involvement of the sacrum above this level is uncommon and, until recently, was considered a contraindication to resection.METHOD:
We report here a surgical technique to deal with high sacral involvement with an anterior approach and maintenance of sacropelvic stability.RESULTS:
The operative findings confirmed a locally perforated rectal cancer with an associated abscess cavity and direct invasion into S2. Given the likelihood that a complete dislocation of the sacrum would cause significant neurological damage and pelvic instability without oncological benefit, we opted for a partial high anterior sacrectomy with nerve preservation. The patient made an uncomplicated recovery without neurological deficit and was able to walk with the aid of crutches from postoperative day 3.CONCLUSION:
While a high sacral transection is appropriate for some patients with locally advanced/recurrent rectal cancer, operative decisions and options should be tailored to each individual.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias del Recto
/
Recto
/
Sacro
/
Neoplasias de la Columna Vertebral
/
Adenocarcinoma
/
Plexo Lumbosacro
/
Recurrencia Local de Neoplasia
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Colorectal Dis
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2013
Tipo del documento:
Article
País de afiliación:
Reino Unido