Abstract
The patient was an 89-year-old woman who underwent right hemicolectomy and functional end-to-end anastomosis for ascending colon cancer at another hospital. The pathological diagnosis was tub1, pT3N1M0, stage IIIa. Postoperative chemotherapy was not performed. Thirteen months later, colonoscopy revealed recurrence at the anastomosis site and she was referred to our hospital. Resection of the bowel including the anastomosis and functional end-to-end anastomosis with semi-closed method were performed. Adjuvant chemotherapy was not performed. Six months later, she developed bloody stool. Colonscopy revealed recurrence at the anastomosis site again. Anastomosis resection was performed again, when the anastomosis was hand-sewn by the Gambee method after wiping the intestinal lumen by 5% povidone-iodine. She has been alive with no tumor recurrence for 30 months, to date.
In order to prevent repeated recurrence at the anastomosis site after functional end-to-end anastomosis for ascending colon cancer, we need some strategies including wiping of the bowel lumen and changing in the anastomosis method at re-operation.
