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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> |
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Laparoscopic abdomino-perineal resection for patients with anorectal malignant melanoma: a report of 4 cases |
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Received:September 20, 2012Revised:October 06, 2012
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DOI:10.7555/JBR.27.20120099
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Keywords:anorectal malignant melanoma, laparoscopic abdominoperineal resection, wide local excision
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Author |
Institution |
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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