| CASE REPORT |
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| Year : 2018 | Volume
: 1
| Issue : 2 | Page : 48-51 |
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A large ischiorectal fossa soft tissue sarcoma: Surgical technique (combined minimally invasive with open approach) and reconstruction with V-RAM flap
Ashish Pokharkar1, Mandar Dhamangaokar1, Swapna Athawle2, Amit Patil1, Avanish Saklani3
1 Departments of Surgical Oncology, Jupiter Hospital, Pune, Maharashtra, India
2 Departments of Plastic Surgery, Jupiter Hospital, Pune, Maharashtra, India
3 Department of Colorectal Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India
Correspondence Address:
Ashish Pokharkar
Department of Oncology, Jupiter Hospital, Pune, Maharashtra
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJCS.IJCS_11_18
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Here, we report a rare case of large ischiorectal fossa (IRF) soft-tissue sarcoma with involvement of the rectum. The patient was operated with laparoscopic abdominoperineal resection and wide local excision of a tumor through the posterior approach. Postoperatively, the patient received adjuvant radiotherapy and chemotherapy. Surgical resection is the mainstay of treatment and includes resection of surrounding organs to get adequate surgical margins for locally advanced IRF tumors. Laparoscopic approach causes less morbidity and early recovery.
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