A case of local recurrence following transanal total mesorectal excision: a new form of port-site metastasis?
I would like to present the case of an 82-year-old man, who underwent transanal total mesorectal excision (TaTME) for rectal cancer and developed soft tissue metastasis in the perianal region 19 months following surgery. On magnetic resonance imaging (MRI), the tumor was classified as T3, located mainly anteriorly, 7 cm from the anal verge and 6 mm from the mesorectal fascia. Computerized tomography (CT) scanning showed no signs of distant metastasis. After the case was discussed at a colorectal multidisciplinary team meeting, we planned surgery without preoperative neoadjuvant treatment.
The procedure was number 38 for the author in the learning curve of consecutive TaTME procedures. We performed a hybrid laparoscopic-transanal procedure, starting with the abdominal part. The transanal part began with fixation of a Lone Star retractor using six plastic stays with a sharp hook at the end to fix the retractor to the skin around the anus. We then used the GelPOINT access...
Compliance with ethical standards
Conflict of interest
The author declares that he has no conflict of interest.
The procedure performed was in accordance with the ethical standards of the institutional research Committee.
Informed consent was obtained.
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