Journal of Coloproctology (Rio de Janeiro)
Print version ISSN 2237-9363
FIGUEIREDO, Juliano Alves et al. Laparoscopic total pelvic exenteration and perineal amputation with wet colostomy. A case report. J. Coloproctol. (Rio J.) [online]. 2012, vol.32, n.2, pp. 175-179. ISSN 2237-9363. http://dx.doi.org/10.1590/S2237-93632012000200013.
Advanced rectal tumors can be treated with curative intent by surgical resection of the rectum including other pelvic organs. The reconstruction of the urinary and gastrointestinal tracts depends on the distance between the tumor and the anus, the patient's status and the experience of the surgical team. This is a case of a male patient with a locally advanced low rectal tumor that underwent a laparoscopic pelvic exenteration. The anus and the tumor and other organs were excised by peritoneal approach. The uretero-colic anastomosis was performed extra-abdominally. The patient was discharged on the 14th postoperative day and remains healthy six months after the surgery. This approach has shown to be feasible and safe. The aesthetical result was well accepted by the patient. The laparoscopic route should be considered as an alternative approach to pelvic exenteration in the treatment of locally advanced low rectal tumors that demand perineal amputation.
Keywords : rectal neoplasm; pelvic exenteration; laparoscopy.