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Tumor recurrence at a stapled‐anastomosis after radical laparoscopic surgery for descending colon cancer treated successfully by laparoscopic colectomy: A case report
Author(s) -
Nhan LQ,
Inomata M,
Etoh T,
Tojigamori M,
Shiraishi N,
Kitano S
Publication year - 2010
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2010.00037.x
Subject(s) - medicine , anastomosis , colorectal cancer , surgery , colectomy , laparoscopic surgery , colonoscopy , descending colon , fibrous joint , laparoscopy , colonic cancer , cancer , suture line , general surgery , rectum
Anastomosis using linear staplers following colonic resection has been increasingly used due to its convenience and technical safety. However, there have been few reports of stapled‐anastomotic recurrence after curative resection for colon cancer. Here, we report a rare case of suture‐line recurrence after functional end‐to‐end anastomosis. A 78‐year‐old woman underwent radical laparoscopic colectomy for advanced descending colon cancer. A postoperative 1 year follow‐up colonoscopy revealed that suture‐line recurrence had occurred. After the detection of early stage recurrent cancer, the patient underwent laparoscopic partial colectomy. This rare case of suture‐line recurrence in functional end‐to‐end anastomosis possibly occurred due to tumor implantation after curative laparoscopic surgery for advanced descending colon cancer. The follow‐up colonoscopy was helpful in diagnosing the anastomotic recurrence in its early stages. In addition, laparoscopic surgery for primary colon cancer led to successful laparoscopic treatment for recurrent cancer as a result of reduced bowel adhesion.