Laparoscopic abdomino-perineal resection for patients with anorectal malignant melanoma:a report of 4 cases

作     者：Jun Han Chuanbing Shi Xiaogang Dong Jie Wang Hao Wen Baolin Wang Zhenyu He 

作者机构：Department of General Surgerythe Second Affiliated HospitalNanjing Medical University Department of Pathologythe Second Affiliated HospitalNanjing Medical University 

出 版 物：《The Journal of Biomedical Research》 (生物医学研究杂志（英文版）)

年 卷 期：2016年第30卷第5期

页      面：436-440页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：anorectal malignant melanoma laparoscopic abdominoperineal resection wide local excision 

摘      要：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.