Transabdominal-transanal total mesorectal excision combined with liver metastasis resection for synchronous low rectal liver metastasis
10.3760/cma.j.issn.1673-9752.2016.02.004
- VernacularTitle:经腹经肛全直肠系膜切除联合肝转移灶切除术治疗同时性低位直肠癌肝转移
- Author:
Zhipeng ZHANG
;
Maolin TIAN
;
Chunhui YUAN
;
Yimu JIA
;
Hongwei YAO
;
Dianrong XIU
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Liver metastases;
Transabdominal-transanal;
Total mesorectal excision
- From:
Chinese Journal of Digestive Surgery
2016;15(2):123-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application value of transabdominal-tansanal total mesorectal excision combined with liver metastasis resection for synchronous low rectal liver metastasis.Methods The retrospective descriptive study was adopted.The clinical data of a male patient with synchronous low rectal liver metastasis who was admitted to the Peking University Third Hospital in November 2015 was collected.Transabdominal-transanal total mesorectal excision combined with liver metastasis resection was performed after multidisciplinary team conference.The liver metastasis resection,vascular disconnection,lymph node dissection and upper and middle mesorectal disconnection were done by transabdominal approach.Then complete mesorectal excision and specimen removal of rectum and liver were done by transanal approach.The intraoperative status (operation method,operation time,volume of intraoperative blood loss,blood transfusion),occurrence of postoperative complications,results of pathological examination and follow-up were observed.The patient was followed up by outpatient examination till January 2016.Results The operation was performed successfully without severe perioperative complications.The operation time and volume of intraoperative blood loss were 360 minutes and 170 mL,respectively.The patient did not receive intraoperative blood transfusion,without urinary retention and presacral abscesses.The patient was discharged at postoperative day 9.The postoperative pathological results showed high-differentiated rectal protruded adenoma and high-middle differentiated adenocarcinoma metastasis in the liver tissue with the negative resection margins.The tumor sizes of rectum and liver metastasis were 5.0 cm × 5.0 cm× 1.5 cm and 1.5 cm × 1.0 cm × 1.5 cm,respectively.The tumor node metastasis (TNM) stage was stage Ⅳ (pT3N0M1).The patient had a good life quality during the follow-up of 1 month.Conclusion Transabdominal-transanal approach might provide an alternative operative approach and resection method for synchronous low rectal liver metastasis,with a good short-term outcome.
