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- Title
Successful resection of a rectal gastrointestinal stromal tumor using a transperineal approach: a case report.
- Authors
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
- Abstract
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.
- Subjects
MINIMALLY invasive procedures; OPERATIVE surgery; GENERAL anesthesia; RECTUM; LITHOTOMY; GASTROINTESTINAL stromal tumors
- Publication
Surgical Case Reports, 2024, Vol 10, Issue 1, p1
- ISSN
2198-7793
- Publication type
Case Study
- DOI
10.1186/s40792-024-02007-4