A Case of Rectal Cancer with a Giant Meningocele Treated with Laparoscopic Surgery

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  • 腹腔鏡下Hartmann手術を行った髄膜瘤併存直腸癌の1例
  • フククウキョウ カ Hartmann シュジュツ オ オコナッタ ズイマクリュウヘイソン チョクチョウ ガン ノ 1レイ

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Abstract

<p>Meningocele is the least common form of spina bifida characterized by cystic dilatation of meninges containing cerebrospinal fluid without any neural tissue. We performed laparoscopic Hartmann's surgery on a patient with rectal cancer with a giant posterior meningocele.</p><p>A 77-year-old woman who presented with melena was referred to our department of surgery with the diagnosis of rectal cancer. Supine and low head positions were not possible because of a giant meningocele at the hip and buttock which was present at birth. But laparoscopic surgery was done safely under general anesthesia by deforming the operating table to fit the mass and by testing trendelenburg position before surgery.</p><p>There is no precedent case of laparoscopic surgery for malignant tumors with a meningocele, and we report the case due to its rarity.</p>

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