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CASE REPORT article

Front. Oncol.

Sec. Surgical Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1550960

Recurrent rectal cancer cured by transsacral prone longitudinal incision combined with bilateral gluteus maximus "kite" flap filling: A case report

Provisionally accepted
LIXIA ZHANGLIXIA ZHANG1Xiaoling JiangXiaoling Jiang1Maoyuan WuMaoyuan Wu1Wenwen ZhangWenwen Zhang2Guanyan WangGuanyan Wang3Wei YangWei Yang4Tingchao LiTingchao Li5Lianli HeLianli He3*Gangcheng WangGangcheng Wang6
  • 1Department of Gynecology and Obstetrics, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi Medical University, Zunyi, China
  • 2Department of Gynecology and Obstetrics, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi Medical University, Zunyi, China
  • 3Department of Gynecology and Obstetrics, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
  • 4Department of Imaging, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
  • 5Department of Pathology, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China
  • 6Department of Abdominal and Pelvic Tumor Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

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Locally recurrent rectal cancer (LRRC) refers to the lesions that appear in the pelvic cavity and perineum with the same pathological type as the primary tumor after radical operation of rectal cancer, excluding other distant metastases such as liver, lung, and bone. Radical surgical resection in such patients is a central element in improving quality of life and 1 survival. In this paper, we report the case of a patient who was admitted to our hospital with a recurrence of ulcerated moderately differentiated carcinoma of the lower rectum with vaginal involvement after comprehensive treatment. After discussion by a multidisciplinary team, a transsacral prone longitudinal incision combined with bilateral gluteus maximus "kite" flap padding was used to remove the tumor tissue completely, and the postoperative area healed well, which improved the patient's quality of life and increased her survival rate.

Keywords: Local recurrence of rectal cancer, Radical resection, longitudinal incisional, Kite Flap, The posterior wall of the vagina

Received: 15 Jan 2025; Accepted: 11 Aug 2025.

Copyright: © 2025 ZHANG, Jiang, Wu, Zhang, Wang, Yang, Li, He and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Lianli He, Department of Gynecology and Obstetrics, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), Zunyi, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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