Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports

Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection....
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Autor*in:	Kuroiwa, Hidemichi [verfasserIn] Nakamura, Yuki [verfasserIn] Matsuda, Kenji [verfasserIn] Iwamoto, Hiromitsu [verfasserIn] Mitani, Yasuyuki [verfasserIn] Shimomura, Kazuki [verfasserIn] Takemoto, Norio [verfasserIn] Sakanaka, Toshihiro [verfasserIn] Tamiya, Masato [verfasserIn] Hyo, Takahiko [verfasserIn] Kawai, Manabu [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Anal fistula cancer Myocutaneous flap reconstruction Complicated anal fistula

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: Surgical case reports - Springer Berlin Heidelberg, 2015, 10(2024), 1 vom: 08. Okt.
Übergeordnetes Werk:	volume:10 ; year:2024 ; number:1 ; day:08 ; month:10

Links:	Volltext

DOI / URN:	10.1186/s40792-024-02037-y

Katalog-ID:	SPR057718288

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520			\|a Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection.
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allfields	10.1186/s40792-024-02037-y doi (DE-627)SPR057718288 (SPR)s40792-024-02037-y-e DE-627 ger DE-627 rakwb eng 610 VZ Kuroiwa, Hidemichi verfasserin aut Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. Anal fistula cancer (dpeaa)DE-He213 Myocutaneous flap reconstruction (dpeaa)DE-He213 Complicated anal fistula (dpeaa)DE-He213 Nakamura, Yuki verfasserin aut Matsuda, Kenji verfasserin aut Iwamoto, Hiromitsu verfasserin aut Mitani, Yasuyuki verfasserin aut Shimomura, Kazuki verfasserin aut Takemoto, Norio verfasserin aut Sakanaka, Toshihiro verfasserin aut Tamiya, Masato verfasserin aut Hyo, Takahiko verfasserin aut Kawai, Manabu verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 08. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:08 month:10 https://dx.doi.org/10.1186/s40792-024-02037-y X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 08 10
spelling	10.1186/s40792-024-02037-y doi (DE-627)SPR057718288 (SPR)s40792-024-02037-y-e DE-627 ger DE-627 rakwb eng 610 VZ Kuroiwa, Hidemichi verfasserin aut Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. Anal fistula cancer (dpeaa)DE-He213 Myocutaneous flap reconstruction (dpeaa)DE-He213 Complicated anal fistula (dpeaa)DE-He213 Nakamura, Yuki verfasserin aut Matsuda, Kenji verfasserin aut Iwamoto, Hiromitsu verfasserin aut Mitani, Yasuyuki verfasserin aut Shimomura, Kazuki verfasserin aut Takemoto, Norio verfasserin aut Sakanaka, Toshihiro verfasserin aut Tamiya, Masato verfasserin aut Hyo, Takahiko verfasserin aut Kawai, Manabu verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 08. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:08 month:10 https://dx.doi.org/10.1186/s40792-024-02037-y X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 08 10
allfields_unstemmed	10.1186/s40792-024-02037-y doi (DE-627)SPR057718288 (SPR)s40792-024-02037-y-e DE-627 ger DE-627 rakwb eng 610 VZ Kuroiwa, Hidemichi verfasserin aut Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. Anal fistula cancer (dpeaa)DE-He213 Myocutaneous flap reconstruction (dpeaa)DE-He213 Complicated anal fistula (dpeaa)DE-He213 Nakamura, Yuki verfasserin aut Matsuda, Kenji verfasserin aut Iwamoto, Hiromitsu verfasserin aut Mitani, Yasuyuki verfasserin aut Shimomura, Kazuki verfasserin aut Takemoto, Norio verfasserin aut Sakanaka, Toshihiro verfasserin aut Tamiya, Masato verfasserin aut Hyo, Takahiko verfasserin aut Kawai, Manabu verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 08. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:08 month:10 https://dx.doi.org/10.1186/s40792-024-02037-y X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 08 10
allfieldsGer	10.1186/s40792-024-02037-y doi (DE-627)SPR057718288 (SPR)s40792-024-02037-y-e DE-627 ger DE-627 rakwb eng 610 VZ Kuroiwa, Hidemichi verfasserin aut Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. Anal fistula cancer (dpeaa)DE-He213 Myocutaneous flap reconstruction (dpeaa)DE-He213 Complicated anal fistula (dpeaa)DE-He213 Nakamura, Yuki verfasserin aut Matsuda, Kenji verfasserin aut Iwamoto, Hiromitsu verfasserin aut Mitani, Yasuyuki verfasserin aut Shimomura, Kazuki verfasserin aut Takemoto, Norio verfasserin aut Sakanaka, Toshihiro verfasserin aut Tamiya, Masato verfasserin aut Hyo, Takahiko verfasserin aut Kawai, Manabu verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 08. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:08 month:10 https://dx.doi.org/10.1186/s40792-024-02037-y X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 08 10
allfieldsSound	10.1186/s40792-024-02037-y doi (DE-627)SPR057718288 (SPR)s40792-024-02037-y-e DE-627 ger DE-627 rakwb eng 610 VZ Kuroiwa, Hidemichi verfasserin aut Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. Anal fistula cancer (dpeaa)DE-He213 Myocutaneous flap reconstruction (dpeaa)DE-He213 Complicated anal fistula (dpeaa)DE-He213 Nakamura, Yuki verfasserin aut Matsuda, Kenji verfasserin aut Iwamoto, Hiromitsu verfasserin aut Mitani, Yasuyuki verfasserin aut Shimomura, Kazuki verfasserin aut Takemoto, Norio verfasserin aut Sakanaka, Toshihiro verfasserin aut Tamiya, Masato verfasserin aut Hyo, Takahiko verfasserin aut Kawai, Manabu verfasserin aut Enthalten in Surgical case reports Springer Berlin Heidelberg, 2015 10(2024), 1 vom: 08. Okt. (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:10 year:2024 number:1 day:08 month:10 https://dx.doi.org/10.1186/s40792-024-02037-y X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_72 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2024 1 08 10
language	English
source	Enthalten in Surgical case reports 10(2024), 1 vom: 08. Okt. volume:10 year:2024 number:1 day:08 month:10
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institution	findex.gbv.de
topic_facet	Anal fistula cancer Myocutaneous flap reconstruction Complicated anal fistula
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container_title	Surgical case reports
authorswithroles_txt_mv	Kuroiwa, Hidemichi @@aut@@ Nakamura, Yuki @@aut@@ Matsuda, Kenji @@aut@@ Iwamoto, Hiromitsu @@aut@@ Mitani, Yasuyuki @@aut@@ Shimomura, Kazuki @@aut@@ Takemoto, Norio @@aut@@ Sakanaka, Toshihiro @@aut@@ Tamiya, Masato @@aut@@ Hyo, Takahiko @@aut@@ Kawai, Manabu @@aut@@
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Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. 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author	Kuroiwa, Hidemichi
spellingShingle	Kuroiwa, Hidemichi ddc 610 misc Anal fistula cancer misc Myocutaneous flap reconstruction misc Complicated anal fistula Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports
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topic_title	610 VZ Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports Anal fistula cancer (dpeaa)DE-He213 Myocutaneous flap reconstruction (dpeaa)DE-He213 Complicated anal fistula (dpeaa)DE-He213
topic	ddc 610 misc Anal fistula cancer misc Myocutaneous flap reconstruction misc Complicated anal fistula
topic_unstemmed	ddc 610 misc Anal fistula cancer misc Myocutaneous flap reconstruction misc Complicated anal fistula
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title	Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports
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title_full	Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports
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author_browse	Kuroiwa, Hidemichi Nakamura, Yuki Matsuda, Kenji Iwamoto, Hiromitsu Mitani, Yasuyuki Shimomura, Kazuki Takemoto, Norio Sakanaka, Toshihiro Tamiya, Masato Hyo, Takahiko Kawai, Manabu
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title_sort	laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports
title_auth	Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports
abstract	Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. © The Author(s) 2024
abstractGer	Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. © The Author(s) 2024
abstract_unstemmed	Background Anal fistula cancer is rare and definitive treatment has not yet been established. Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. Conclusions If the size of anal fistula cancer is large and extended buttock resection is necessary, radical resection of anal fistula cancer is possible using myocutaneous flap for reconstruction after extended abdominoperineal resection. © The Author(s) 2024
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title_short	Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports
url	https://dx.doi.org/10.1186/s40792-024-02037-y
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author2	Nakamura, Yuki Matsuda, Kenji Iwamoto, Hiromitsu Mitani, Yasuyuki Shimomura, Kazuki Takemoto, Norio Sakanaka, Toshihiro Tamiya, Masato Hyo, Takahiko Kawai, Manabu
author2Str	Nakamura, Yuki Matsuda, Kenji Iwamoto, Hiromitsu Mitani, Yasuyuki Shimomura, Kazuki Takemoto, Norio Sakanaka, Toshihiro Tamiya, Masato Hyo, Takahiko Kawai, Manabu
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up_date	2024-10-09T04:49:00.789Z
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Laparoscopic abdominoperineal resection is generally the first choice of treatment if the cancer is determined to be resectable. However, complicated anal fistula cancer often requires extensive resection. Using a myocutaneous flap for reconstruction after resection in such cases, radical resection can be performed regardless of the size of the anal fistula cancer. Case presentation We report two cases in which we performed laparoscopic abdominoperineal resection with extensive buttock resection and myocutaneous flap reconstruction for widespread anal fistula cancer. One of the cases was reconstruction with a posterior thigh flap, the other was with a bilateral expanded gluteus maximus flap. Both cases were anal fistula cancers that developed from complicated anal fistulas. 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Laparoscopic abdominoperineal resection and myocutaneous flap reconstruction for anal fistula cancer arising from complicated anal fistula: two case reports

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