Robotic partial excision of levator-ani muscle for locally advanced low rectal cancer invading ipsilateral pelvic floor

Seung Yoon Yang, Nam Kyu Kim

Research output: Contribution to journalArticlepeer-review

Abstract

Tumors at the level of the anorectal junction had required abdominoperineal resection (APR) to achieve an adequate resection margin. However, in the cases of tumor invading ipsilateral levator-ani muscle (LAM), en-bloc resection of the rectum with LAM including tumor would be possible. This video is to show the critical anatomic steps of this procedure. A video was produced from the robotic right partial excision of LAM (PELM) performed in a 57-year-old female patient with rectal cancer at 3 cm from the anal verge, invading the ipsilateral anorectal ring, who had received neoadjuvant chemoradiotherapy. The patient discharged at postoperative day 8 without complication. The pathology of the surgical specimen revealed ypT3N1bM0. The secure resection margin from the tumor was achieved. Robotic PELM is the sphincter-preserving technique that can be an alternative treatment option for low rectal cancer invading the ipsilateral LAM, which has been an indication for APR or extralevator APR.

Original languageEnglish
Pages (from-to)415-416
Number of pages2
JournalAnnals of Coloproctology
Volume36
Issue number6
DOIs
Publication statusPublished - 2020 Dec 31

Bibliographical note

Publisher Copyright:
© 2020 The Korean Society of Coloproctology.

All Science Journal Classification (ASJC) codes

  • Gastroenterology

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