Rectal Cancer Treated by Laparoscopic Low Anterior Resection in a Patient with Leriche Syndrome—A Case Report—

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  • NODA Kazuki
    Departments of Surgery and Gastrointestinal Surgery, Japanese Red Cross Society, Wakayama Medical Center
  • UENO Kohei
    Departments of Surgery and Gastrointestinal Surgery, Japanese Red Cross Society, Wakayama Medical Center
  • ITO Daisuke
    Departments of Surgery and Gastrointestinal Surgery, Japanese Red Cross Society, Wakayama Medical Center
  • NOMA Atsushi
    Departments of Surgery and Gastrointestinal Surgery, Japanese Red Cross Society, Wakayama Medical Center
  • MIYAMOTO Takumi
    Departments of Surgery and Gastrointestinal Surgery, Japanese Red Cross Society, Wakayama Medical Center
  • UYAMA Shiro
    Departments of Surgery and Gastrointestinal Surgery, Japanese Red Cross Society, Wakayama Medical Center

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Other Title
  • 腹腔鏡下低位前方切除術を行ったLeriche症候群併存直腸癌の1例
  • 症例 腹腔鏡下低位前方切除術を行ったLeriche症候群併存直腸癌の1例
  • ショウレイ フククウキョウ カ テイイ ゼンポウ セツジョジュツ オ オコナッタ Leriche ショウコウグン ヘイソン チョクチョウ ガン ノ 1レイ

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Abstract

A 68-year-old man presented with abdominal pain and bloody stool. Rectal cancer was identified on lower gastrointestinal endoscopy, and further investigations resulted in a diagnosis of T3N2M0c Stage IIIb. Preoperative contrast-enhanced computed tomography (CT) showed that the patient also had Leriche syndrome, but this was asymptomatic, and imaging also showed that blood was supplied to the legs and intraperitoneal organs via highly developed intraperitoneal collateral flow. Laparoscopic low anterior resection was carried out without revascularization. There were no perioperative complications, and the patient was discharged on postoperative Day 7. It was possible to safely perform laparoscopic surgery for rectal cancer in a patient with Leriche syndrome.

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