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Successful resection of a rectal gastrointestinal stromal tumor using a transperineal approach: a case report.

Authors :
Endo Y
Fukuoka T
Ozawa S
Ishidate T
Yonemitsu K
Seki Y
Kasashima H
Miki Y
Yoshii M
Tamura T
Shibutani M
Toyokawa T
Lee S
Maeda K
Source :
Surgical case reports [Surg Case Rep] 2024 Sep 10; Vol. 10 (1), pp. 213. Date of Electronic Publication: 2024 Sep 10.
Publication Year :
2024

Abstract

Background: Rectal gastrointestinal stromal tumors (GISTs) complicate surgical approaches because of their anatomical position. We herein report a patient with rectal GIST on the anterior wall of the lower rectum, hat was successfully resected using a transperineal approach.<br />Case Presentation: This report describes a unique case of a 73-year-old man who was diagnosed with rectal GIST on the anterior wall of the lower rectum. The tumor was located within 3 cm of the anal verge, a location that would require highly invasive surgery. A transperineal approach was planned to preserve the anal function. Under general anesthesia, the patient was placed in a lithotomy position and a Mercedes-Benz incision was made in the perineum. Excision of the tumor was performed. The post-operative course was uneventful, and the patient remained free from recurrence.<br />Conclusion: This case highlights the importance of performing minimally invasive and safe surgery. With some surgical refinements, a transperineal approach may be an option for surgical procedures in patients with rectal GIST on the anterior wall of the lower rectum.<br /> (© 2024. The Author(s).)

Details

Language :
English
ISSN :
2198-7793
Volume :
10
Issue :
1
Database :
MEDLINE
Journal :
Surgical case reports
Publication Type :
Academic Journal
Accession number :
39254811
Full Text :
https://doi.org/10.1186/s40792-024-02007-4