Simultaneous laparoscopic liver metastasectomy and intersphincteric resection for neuroendocrine tumor of the rectum by natural orifice specimen extraction surgery.

Mufaddal Kazi, Shraddha Patkar, Avanish Saklani
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Abstract

Neuroendocrine tumors (NET) are relatively uncommon rectal neoplasms, and the liver is the most common site of distant metastasis. Simultaneous liver and colorectal resections by minimally invasive surgery and natural orifice specimen extraction are gaining popularity, reducing morbidity. We describe a case of rectal NET with liver metastasis operated simultaneously by laparoscopy with both specimens extracted via the anal canal. Transanal or transvaginal natural orifice specimen extraction surgery for suitable cases is underutilized and only isolated case reports for simultaneous resections exist.

通过自然腔道标本提取手术同时进行腹腔镜直肠神经内分泌肿瘤肝转移切除术和括约肌间切除术
神经内分泌肿瘤(NET)是比较少见的直肠肿瘤,肝脏是最常见的远处转移部位。通过微创手术和自然腔道标本提取同时进行肝脏和结直肠切除术可降低发病率,因此越来越受到欢迎。我们描述了一例直肠NET伴肝转移的病例,该病例通过腹腔镜同时进行手术,经肛管提取两处标本。经肛门或经阴道自然腔道标本抽取手术在适合的病例中应用不足,目前仅有个别病例报告采用了同步切除术。
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