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We successfully performed complete resection by laparoscopic anterior pelvic exenteration while preserving the anus. After laparoscopic mobilization of the rectum, urinary bladder, and prostate, the urethra and urethral catheter were dissected to reveal the lower rectum. By pulling the urethral catheter toward the head, the prostate was excised retrogradely from the lower rectum anterior wall. The lower rectum was resected and anastomosed by the double stapling technique with a safe distal margin from the tumor. Pathological findings of the resected specimen indicated no residual tumor in the surgical margin. There was no evidence of recurrence 34\u2009months after surgery. En bloc, <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>0, laparoscopic anterior pelvic exenteration for <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>4 rectal cancer is feasible. However, further studies with long\u2010term follow\u2010up are required to resolve oncological outcomes.<\/jats:p>","DOI":"10.1111\/ases.12196","type":"journal-article","created":{"date-parts":[[2015,8,25]],"date-time":"2015-08-25T11:12:06Z","timestamp":1440501126000},"page":"343-346","source":"Crossref","is-referenced-by-count":4,"title":["Laparoscopic anterior pelvic exenteration for locoregionally advanced rectal cancer directly invading the urinary bladder: A case report of low anterior resection with en bloc cystectomy for sphincter preservation"],"prefix":"10.1111","volume":"8","author":[{"given":"Hidenobu","family":"Ishizaki","sequence":"first","affiliation":[{"name":"Department of Surgical Oncology and Regulation of Organ Function Miyazaki University School of Medicine  Miyazaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology and Regulation of 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