RESUMO
Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an emerging concept which has been recently applied to the field of rectal excision. The authors describe a case of total mesorectal excision using a transanal port and laparoscopic assistance. We described a procedure performed in a 45-year-old for a rectal adenocarcinoma (1 cm wide, T1sm3) 3 cm above the dentate line. The procedure is described in the text and in a didactic video.
Assuntos
Adenocarcinoma/cirurgia , Canal Anal , Laparoscopia , Cirurgia Endoscópica por Orifício Natural/métodos , Neoplasias Retais/cirurgia , Reto/cirurgia , Adenocarcinoma/patologia , Anastomose Cirúrgica , Feminino , Humanos , Excisão de Linfonodo , Pessoa de Meia-Idade , Cirurgia Endoscópica por Orifício Natural/instrumentação , Estadiamento de Neoplasias , Neoplasias Retais/patologia , Reto/patologia , Resultado do Tratamento , Gravação de VideoteipeRESUMO
Perforation of rectal cancer usually occurs intraperitoneally. Extraperitoneal perforation is rare and usually presents as perineal sepsis, leading to diagnosis and urgent surgical management plus antibiotic therapy. We report the case of a patient presenting with a perforated rectal carcinoma which presented as necrotizing fasciitis of the right thigh.