Naito Atsushi, Takahasi Hidekazu, Yoshihara Terukazu, Iwamoto Kazuya, Ohara Nobuyoshi, Matsuda Chu, Noura Shingo
Department of Gastroenterological Surgery, Sakai City Medical Center, Osaka, Japan.
Department of Gastroenterological Surgery, Osaka International Medical and Science Center, Osaka, Japan.
Asian J Endosc Surg. 2025 Jan-Dec;18(1):e70025. doi: 10.1111/ases.70025.
Rectal gastrointestinal stromal tumors (GISTs) are prevalent in the lower rectum, and the existing literature suggests that transanal interventions are advantageous for anorectal preservation. Herein, we present a case of rectal GIST resection using transanal minimally invasive surgery. A 75-year-old woman reported vaginal discomfort and was subsequently diagnosed with GIST via transanal tumor biopsy. Local excision using transanal minimally invasive surgery was performed with an operative duration of 203 min and minimal hemorrhage. No evidence of recurrence was observed at the one-year postoperative follow-up.
直肠胃肠道间质瘤（GIST）在下段直肠较为常见，现有文献表明经肛门干预对于保留肛门直肠功能具有优势。在此，我们报告一例采用经肛门微创手术切除直肠GIST的病例。一名75岁女性报告有阴道不适，随后经肛门肿瘤活检诊断为GIST。采用经肛门微创手术进行局部切除，手术时间为203分钟，出血极少。术后一年随访未观察到复发迹象。
