Robot-assisted restorative proctectomy with coloanal anastomosis for anorectal malignant melanoma: An unusual case report Hsieh YC, Huang CW, Su WC, Ma CJ, Chen YC, Wang JY,

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Robot-assisted restorative proctectomy with coloanal anastomosis for anorectal malignant melanoma: An unusual case report Yi-Chien Hsieh¹, Ching-Wen Huang¹, Wei-Chih Su¹, Cheng-Jen Ma¹, Yen-Cheng Chen¹, Jaw-Yuan Wang² ¹ Division of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan ² Division of Colorectal Surgery, Department of Surgery; Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University Hospital; Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan Correspondence Address: Jaw-Yuan Wang, Department of Surgery, Division of Colorectal Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tzyou 1^st Road, Kaohsiung 807 Taiwan Source of Support: None, Conflict of Interest: None DOI: 10.4103/jmas.JMAS_66_19 PMID: 31793454

Anorectal malignant melanoma is a very rare but aggressive cancer which carries poor prognosis. Surgical intervention is the main management but whether wide local excision or abdominoperineal resection has better survival benefit remains controversial. However, robotic-assisted restorative proctectomy with coloanal anastomosis with intersphincteric resection (ISR) has not been reported yet. Hence, we presented a case with anorectal malignant melanoma treated with robotic-assisted ISR with coloanal anastomosis. The patient has satisfied post-operative life quality, and no local recurrence was noted after 3-year follow-up.

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    -  Huang CW
    -  Su WC
    -  Ma CJ
    -  Chen YC
    -  Wang JY

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