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Jun Han,Chuanbing Shi,Xiaogang Dong,Jie Wang,Hao Wen,Baolin Wang,Zhenyu He.Journal of Biomedical Research,2016,30(5):/span>
Laparoscopic abdomino-perineal resection for patients with anorectal malignant melanoma: a report of 4 cases
Received:September 20, 2012Revised:October 06, 2012
DOI:10.7555/JBR.27.20120099
Keywordsanorectal malignant melanoma, laparoscopic abdominoperineal resection, wide local excision
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Jun Han Department of General Surgery, the Second Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu , China
Chuanbing Shi Department of Pathology, the Second Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu , China
Xiaogang Dong Department of General Surgery, the Second Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu , China
Jie Wang Department of General Surgery, the Second Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu , China
Hao Wen Department of General Surgery, the Second Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu , China
Baolin Wang Department of General Surgery, the Second Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu , China
Zhenyu He Department of General Surgery, the Second Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu , China
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Abstract
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 laparoscoic techniques. However, laparoscopic abdom-inoperineal 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.
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