A Case of Laparoscopic Low Anterior Resection for Rectal Cancer after Laparoscopic Sacrocolpopexy

Abstract

Pelvic organ prolapse is a common disease in elderly women, and the risk of developing pelvic organ prolapse increases with age. Although the number of women requiring surgery for colorectal cancer after laparoscopic sacrocolpopexy (LSC) for the treatment of pelvic organ prolapse is expected to increase, there are few reports in Japan. In this report, we describe a laparoscopic low anterior resection safely done for rectal cancer developed after LSC in a 68-year-old woman. She presented to our hospital with positive fecal occult blood test and was diagnosed with cT1bN0M0 Stage I ascending colon cancer and cT3N0M1a (PUL) Stage IV a rectal cancer.

She had previous history of undergoing LSC for pelvic organ prolapse using mesh elsewhere, and so we expected to encounter adhesions during surgery for colorectal lesions.