Imasato Naoki, Yajima Shugo, Ogasawara Ryo Andy, Inoue Minoru, Hirose Kohei, Sekiya Ken, Kataoka Madoka, Nakanishi Yasukazu, Masuda Hitoshi
National Cancer Center Hospital East Chiba Japan.
IJU Case Rep. 2024 Dec 10;8(2):104-107. doi: 10.1002/iju5.12817. eCollection 2025 Mar.
Severe adhesions render salvage robot-assisted radical prostatectomy challenging in the treatment of patients with prostate cancer who have previously undergone colorectal cancer surgery.
A 76-year-old Japanese man who had previously undergone low anterior resection for rectal cancer presented with an elevated prostate-specific antigen level, indicating a recurrence of prostate cancer that had been treated with intensity-modulated radiation and androgen deprivation therapies. During the salvage robot-assisted radical prostatectomy with pelvic lymph node dissection, severe adhesions were noted between the posterior aspect of the prostate and the intestine. The adhesions were successfully dissected under digital rectal examination and transrectal ultrasound guidance.
Salvage robot-assisted radical prostatectomy after rectal cancer can be challenging. The use of transrectal ultrasound and digital rectal examination can facilitate the procedure. Screening for prostate cancer prior to colorectal cancer surgery could potentially allow for simultaneous resections.
对于既往接受过结直肠癌手术的前列腺癌患者，严重粘连使得挽救性机器人辅助根治性前列腺切除术具有挑战性。
一名76岁的日本男性，既往因直肠癌接受了低位前切除术，现前列腺特异性抗原水平升高，提示曾接受调强放疗和雄激素剥夺治疗的前列腺癌复发。在挽救性机器人辅助根治性前列腺切除术及盆腔淋巴结清扫术中，发现前列腺后部与肠道之间存在严重粘连。在直肠指检和经直肠超声引导下成功分离了粘连。
直肠癌后的挽救性机器人辅助根治性前列腺切除术可能具有挑战性。经直肠超声和直肠指检的应用可促进手术进行。在结直肠癌手术前筛查前列腺癌可能允许同时进行切除。
