Case Report Stapled Suture Line Recurrence of the Submucosally Invasive Cecal Cancer after Functional End-to-End Anastomosis

Daisuke Satomi, Yuichi Morishima, Youichi Tazawa, Jun Kobayashi, Yasuyoshi Toyoda, Yukio Yoshida, Youji Takami, Kaisuke Yamamoto, Masahiro Mori and Ichirou Suzuki

Department of Surgery, National Hospital Organization Chiba Medical Center

We report a case of anastomotic recurrence following surgery for submucosally invasive colon cancer. A 78-year-old man diagnosed with submucosally invasive cecal cancer underwent laparoscopy-assisted ileocecal resection with D2 lymph node dissection and functional end-to-end anastomosis. UFT and oral leucovorin administration was initiated as adjuvant chemotherapy after discharge, which the man continued for 6 months as an outpatient. One year postoperatively, however, regular colonoscopy identified anastomotic type 2 tumor recurrence along the staple line, necessitating partial colon resection involving the anastomosis. Few cases of anastomotic recurrence after surgery for submucosally invasive colon cancer have been reported in the Japanese literature. Effective measures against anastomotic recurrence following the implantation of exfoliated cancer cells are thus required following surgery for submucosally invasive colon cancer, and regular postoperative colonoscopic examination is a vital part of such follow-up.

Key words
colon cancer, anastomotic recurrence, functional end-to-end anastomosis

Reprint requests
Daisuke Satomi Department of Surgery, National Hospital Organization Chiba Medical Center
4-1-2 Tsubakimori, Chuou-ku, Chiba, 260-8606 JAPAN

Accepted
July 22, 2009

To read the PDF file you will need Abobe Reader installed on your computer.