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Updated: Aug 2, 2025

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Complete Pathological Response of Rectal Cancer with Preoperative Chemoradiotherapy-A Case Report]
Akira Koizumi1, Shuji Okamoto, Sachio Terai
1Dept. of Surgery, Hyogo Prefectural Tamba Medical Center.
Abstract:
A 79-year-old man diagnosed with rectal cancer and underwent preoperative chemoradiotherapy. After chemoradiotherapy, the patient underwent abdominoperineal resection. Postoperative pathological examination confirmed pathological complete response. Postoperatively, the patient developed a pelvic abscess due to wound infection from the anal fistula, which required drainage and antibiotic therapy. Treatment options that include a watch and wait approach are required in cases of resectable lower rectal cancer with a high risk of local recurrence that has shrunk after preoperative chemoradiation.

