Local Recurrence after Abdominoperineal Resection with Vertical Rectus Abdominis Musculocutaneous Flap:A Case Report of Pelvic Exenteration with Preservation of the Flap
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- Murata Yuki
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
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- Uehara Kay
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
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- Ogura Atsushi
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
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- Aiba Toshisada
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
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- Mishina Takuya
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
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- Kambara Yuichi
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
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- Suzuki Yumi
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
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- Ebata Tomoki
- Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 有茎腹直筋皮弁を用いた会陰再建後に筋皮弁温存骨盤内臓全摘術を施行した1例
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Description
<p>A 75-year-old man underwent abdominoperineal resection (APR) and reconstruction using a right vertical rectus abdominis musculocutaneous (VRAM) flap for fistula-associated anal cancer 1 year ago. Pathological findings revealed mucinous adenocarcinoma (T4N0M0) with R1 resection. Six months after surgery, local recurrence developed and he was referred to our hospital. CT findings showed that the recurrent tumor, 30 mm in diameter, was adjacent to the right side of the prostate and the ventral side of the VRAM flap, however, there was no finding of invasion of the feeding vessels.</p><p>Total pelvic exenteration (TPE) with preservation of the VRAM flap was successfully performed. He was discharged on the 27th day after surgery and remains alive without recurrence 1 year after surgery.</p><p>The VRAM flap has been widely used in perineal reconstruction after extended pelvic surgery. In the case of local recurrence thereafter, redo surgery may be complicated, especially when the flap should be preserved. In this case, fortunately we could achieve R0 resection, however, preservation sometimes threatens curability, therefore, the indication should be carefully considered.</p>
Journal
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- Nippon Daicho Komonbyo Gakkai Zasshi
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Nippon Daicho Komonbyo Gakkai Zasshi 75 (1), 15-20, 2022
The Japan Society of Coloproctology
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Keywords
Details 詳細情報について
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- CRID
- 1390290537431585024
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- NII Article ID
- 130008136698
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- ISSN
- 18829619
- 00471801
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed