A Case of a 14-year-old Girl with Colitic Cancer who Underwent Laparoscopic Total Colectomy Safely

Abstract

The case of a 14-year-old girl who developed ulcerative colitis (UC) at 6 years of age and visited our hospital for treatment is presented. She was diagnosed with well-differentiated adenocarcinoma during lower gastrointestinal tract endoscopy as a follow-up evaluation. The patient then underwent laparoscopic total colectomy, D3 dissection, ileal pouch-anal anastomosis, and ileostomy. UC often occurs concurrently with colon cancer, and the frequency of colon cancer in UC patients is reportedly 1.8% within 10 years, 8.3% within 20 years, and 18.4% within 30 years of developing UC. In our institution, we have performed laparoscopic total colectomy for UC since 2007. Laparoscopic surgery may be a viable treatment option for the removal of colitic cancer in UC patients.