ArticleInternational journal of surgery case reports2026
Radical prostatectomy after rectal cancer surgery: surgical challenges and technical strategies - a case series.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: We report a case series to detail the feasibility of radical prostatectomy (RP) in patients who previously underwent rectal cancer surgery, with a specific focus on the location of the rectal anastomosis. Methods: We reviewed the records of 11 patients who underwent RP after rectal cancer surgery. Prior rectal surgeries included low anterior resection (LAR, Results: The median operative time and estimated blood loss were 203 min and 365 mL, respectively. Moderate-to-severe adhesions were observed in patients who underwent LAR because the anastomosis was located directly behind the prostate. Mild or no adhesions were observed in patients who underwent HAR or ISR. The patient with APR exhibited dense adhesions and descent of the small bowel into the pelvis. No rectal injuries occurred in any of the patients. Only one patient developed a Clavien-Dindo grade 3 complication. Conclusion: The degree of dorsal prostate adhesions after rectal cancer surgery may vary depending on previous surgical procedures. Preoperative evaluation of surgical history and anatomy is essential, and the intraoperative use of DRE and TRUS helps ensure safe dissection. These strategies could improve the safety of patients with a history of rectal cancer surgery.
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