ASCRS U | Laparoscopic Low Anterior Resection

Laparoscopic Low Anterior Resection

3 results

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Malignancy
- A 65-year-old woman with diabetes is diagnosed with rectal cancer. After receiving neoadjuvant chemoradiation, she undergoes a laparoscopic low anterior resection and 4 of 13 nodes were found to be positive for disease. She undergoes 8 cycles of treatment with FOLFOX (folinic acid, fluorouracil, and oxaliplatin). At her 6-month follow-up visit, she reports numbness, paresthesia, and occasional pain in her toes bilaterally. What is the most likely cause of her symptoms?
Perioperative
- While performing a low-anterior resection for rectal cancer, you identify a transection of the left ureter in the region of the lateral rectal ligament. What is the best method to repair this injury?
Pelvic Floor
- A 75-year-old woman with chronic rectal prolapse wishes to discuss surgical treatment planning. She has prolapsing tissue with defecation, which is lifestyle limiting due to bleeding, fecal smearing, and pain. On physical examination, she has a 1.5-cm segment of circumferential prolapsing rectal mucosa with a focal anterior ulcer, no rectocele, and moderate baseline tone. She is frail, with a medical history significant for coronary artery disease after stent placement, receives dual antiplatelet therapy, and has a caretaker to assist with daily activities. What is the best surgical approach for repair of this patient’s prolapse?
1 - 3 of 3 records

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