Laparoscopic abdomino-perineal resection for patients with anorectal malignant melanoma:a report of

• 作 者: Jun Han Chuanbing Shi Xiaogang Dong Jie Wang Hao Wen Baolin Wang Zhenyu He
• 机 构: Department of General Surgery,the Second Affiliated Hospital,Nanjing Medical University,Department o
• 出 处: The Journal of Biomedical Research
• 发表日期: 2016年05期
• 关键词: anorectal melanoma polyp hemorrhoids excision metastatic recurrence Surgery meta

Anorectal malignant melanoma is a very rare but lethal disease.Patients with anorectal malignant melanoma commonly complain for changes in bowel habits and rectal bleeding.Therefore,anorectal malignant melanoma is often misdiagnosed as hemorrhoids,polyp or rectal cancer.Surgery is the mainstay of treatment for patients with anorectal malignant melanoma.However,whether abdominoperineal resection or wide local excision is the most appropriate surgical approach is still a controversial issue.Recently,with the great development of laparoscopic techniques,more and more operations can be performed by laparoscopic techniques.However,laparoscopic abdominoperineal resection for management of anorectal malignant melanoma has been rarely reported.In this study,we reported 4 patients with anorectal malignant melanoma underwent laparoscopic abdominoperineal resection.The outcomes of these patients were relatively good during a long time follow-up.Meanwhile,we reviewed the relevant studies with particular focus surgical treatment.

Anorectal malignant melanoma is a very rare but lethal disease. Patients with anorectal malignant melanoma were complain for changes in bowel habits and rectal bleeding. Beforefore, anorectal malignant melanoma is often misdiagnosed as hemorrhoids, polyp or rectal cancer. Surgery is the mainstay of treatment for patients with anorectal malignant melanoma.However, whether abdominoperineal resection or wide local excision is the most appropriate surgical approach is still a controversial issue. Recently, with the great development of laparoscopic techniques, more and more operations can be performed by laparoscopic techniques. Still, laparoscopic abdominoperineal resection for management of anorectal malignant melanoma has been less reported. In this study, we reported 4 patients with anorectal malignant melanoma underwent laparoscopic abdominoperineal resection. These outcomes of these patients were relatively good during a long time follow-up. reviewed the relevant studies with part icular focus surgical treatment.