Laparoscopic-assisted colectomy in a patient with colon cancer after percutaneous endoscopic gastrostomy.
BACKGROUND
A number of patients undergo percutaneous endoscopic gastrostomy (PEG) under various conditions. Open colectomy is usually performed for colon cancer in patients with PEG because the safety of the laparoscopic approach for such patients has not been established. However, if the laparoscopic approach is possible in patients with PEG, it will be less invasive and more helpful in rehabilitation into society.


METHODS
We describe the case of a 64-year-old male with a T1 adenocarcinoma of the ascending colon 2 years after surgery for nasal cancer and PEG for dysphagia. The patient did not have any distant metastases or malignant tumors on preoperative computed tomography and positron-emission tomography. He underwent laparoscopic-assisted colectomy (LAC) with lymph node dissection. No complications developed during or after the surgery.


CONCLUSIONS
LAC could be a potential option for the treatment of colon cancer in patients who have undergone PEG. To our knowledge, this is the first recorded case of an ascending colon cancer treated with LAC under the condition of gastrostoma.
Center for Minimally Invasive Surgery, Division of Colorectal Surgery, Tokyo Medical and Dental University, Yushima, Bunkyo-ku, Tokyo, Japan. h-kobayashi.srg2@tmd.ac.jp
Hirotoshi
H
Kobayashi
Tetsuro
T
Higuchi
Hiroyuki
H
Uetake
Satoru
S
Iida
Toshiaki
T
Ishikawa
Kenichi
K
Sugihara
D000230:Adenocarcinoma / Q000601:surgery*; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000601:surgery*; D009669:Nose Neoplasms / Q000150:complications / Q000601:surgery