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Case Report: Low Rectal Cancer With Incidental Pelvic Solitary Kidney
Xiang Zhang1, Chang Chen1, Kexin Wang1
1Department of General Surgery, Qilu Hospital of Shandong University, Shandong, China.
Purpose:
Concurrence of pelvic solitary kidney and rectal cancer is a rare phenomenon. The presence of the kidney in a narrow pelvic cavity represents a great challenge for total mesenteric excision (TME) under laparoscopy.
Methods:
We reported a male patient with low rectal cancer and incidental pelvic solitary kidney and reviewed relevant literature.
Results:
The patient was successfully treated with laparoscopic surgery and was discharged on day 6 postoperatively without severe complications.
Conclusion:
This case suggests the feasibility of laparoscopic TME with pelvic solitary kidney in a certain male patient with rectal cancer and emphasizes the importance of comprehensive preoperative radiological evaluation, a multidiscipline team, and careful intraoperative dissection.
Insights
Laparoscopic surgery for rectal cancer is feasible even with a pelvic solitary kidney. Careful planning and execution are key for successful outcomes in this rare condition.
Area of Science:
- Surgical Oncology
- Urology
Background:
- Rectal cancer management often requires total mesenteric excision (TME).
- A pelvic solitary kidney presents unique surgical challenges for TME due to anatomical constraints.
Observation:
- A male patient with low rectal cancer was incidentally found to have a pelvic solitary kidney.
- This anatomical anomaly complicated the surgical approach for TME.
Findings:
- The patient underwent successful laparoscopic TME despite the pelvic solitary kidney.
- The procedure was completed without significant complications, and the patient was discharged on postoperative day 6.
Implications:
- Laparoscopic TME is feasible in select male patients with rectal cancer and a pelvic solitary kidney.
- Comprehensive preoperative imaging, multidisciplinary team collaboration, and meticulous surgical technique are crucial for managing this rare concurrence.
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