title: Coincident Port-site and Functional End-to-end Anastomotic Recurrences after Laparoscopic Surgery for Colon Cancer: A case report and literature review.
abstract: Herein, we report coincident recurrences at the port site and functional end-to-end anastomosis after laparoscopic right hemicolectomy for cancer of the ascending colon. The patient was an 83-year-old man who had undergone the aforementioned procedure (Stage IIA) in the referral hospital. At the 10-month follow-up, computed tomography showed two tumours around 3 cm in diameter: one on the right-flank abdominal wall - the surgical port-site - and the other at the functional end-to-end anastomosis. Likewise, a positron emission tomography scan was positive for two tumours. Endoscopic examination showed an ulcerated tumour with a clear margin, and a biopsy confirmed moderately differentiated tubular adenocarcinoma. The patient was diagnosed with coincident recurrences at the port site and functional end-to-end anastomosis after laparoscopic right hemicolectomy for cancer of the ascending colon. We re-operated in March 2016. The tumours at the functional end-to-end anastomosisand functional end-to-end anastomosiswere resected. After 7 months, no recurrence was detected. J. Med. Invest. 64: 177-180, February, 2017.
authors.affiliation: Department of Gastroenterological Surgery, Aichi Cancer Center Hospital.
authors.forename: Koji
authors.initials: K
authors.lastname: Komori
authors.forename: Takashi
authors.initials: T
authors.lastname: Kinoshita
authors.forename: Oshiro
authors.initials: O
authors.lastname: Taihei
authors.forename: Seiji
authors.initials: S
authors.lastname: Ito
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Abe
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Senda
authors.forename: Kazunari
authors.initials: K
authors.lastname: Misawa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ito
authors.forename: Norihisa
authors.initials: N
authors.lastname: Uemura
authors.forename: Seiji
authors.initials: S
authors.lastname: Natsume
authors.forename: Jiro
authors.initials: J
authors.lastname: Kawakami
authors.forename: Akira
authors.initials: A
authors.lastname: Ouchi
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tsutsuyama
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hosoi
authors.forename: Itaru
authors.initials: I
authors.lastname: Shigeyoshi
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Akazawa
authors.forename: Daisuke
authors.initials: D
authors.lastname: Hayashi
authors.forename: Hideharu
authors.initials: H
authors.lastname: Tanaka
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shimizu
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003082:Colectomy; D003110:Colonic Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging* / Q000601:surgery*; D000072078:Positron Emission Tomography Computed Tomography; D012086:Reoperation