Abstract
BackgroundRectal cancer with rectal prolapse is rare, described by only a few case reports. Recently, laparoscopic surgery has become standard procedure for either rectal cancer or rectal prolapse. However, the use of laparoscopic low anterior resection for rectal cancer with rectal prolapse has not been reported.Case presentationA 63-year-old Japanese woman suffered from rectal prolapse, with a mass and rectal bleeding for 2 years. An examination revealed complete rectal prolapse and the presence of a soft tumor, 7 cm in diameter; the distance from the anal verge to the tumor was 5 cm. Colonoscopy demonstrated a large villous tumor in the lower rectum, which was diagnosed as adenocarcinoma on biopsy. We performed laparoscopic low anterior resection using the prolapsing technique without rectopexy. The distal surgical margin was more than 1.5 cm from the tumor. There were no major perioperative complications. Twelve months after surgery, our patient is doing well with no evidence of recurrence of either the rectal prolapse or the cancer, and she has not suffered from either fecal incontinence or constipation.ConclusionsLaparoscopic low anterior resection without rectopexy can be an appropriate surgical procedure for rectal cancer with rectal prolapse. The prolapsing technique is useful in selected patients.
Highlights
Rectal cancer with rectal prolapse is rare, described by only a few case reports
The prolapsing technique is useful in selected patients
Some reports state that laparoscopic surgery for transabdominal rectopexy is recommended because it is less invasive than open surgery [3, 4]
Summary
Rectal cancer with rectal prolapse is rare, described by only a few case reports. The use of laparoscopic low anterior resection for rectal cancer with rectal prolapse has not been reported. We performed laparoscopic low anterior resection using the prolapsing technique without rectopexy. Laparoscopic low anterior resection (Lap-LAR) has been successfully adopted for rectal cancer because of its favorable short-term outcomes [5,6,7,8,9]. To the best of our knowledge, only three cases of rectal cancer with rectal prolapse (RCRP) have been reported [10,11,12], and none of these patients was treated with laparoscopic surgery. We present a patient with RCRP that was successfully resected using
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