2012 Volume 72 Issue 6 Pages 680-685
An 82-year-old woman underwent radical surgery for descending colon cancer. During surgery, functional end-to-end anastomosis (FEEA) was performed using a suturing device. Pathological examination demonstrated D, Wel (tub1>pap, muc), pT3 (SE), N1, M0, H0, P0, fStageIIIa. Anastomotic recurrence located in the FEEA suture line took place three times in two years. For the first two recurrent tumors, anastomosis resection with D1 lymph node resection was performed. FEEA was performed in the first three operations. Finally the Hartmann procedure was performed. Anastomotic recurrence often occurs at FEEA suture lines. In our hospital the rate of anastomotic recurrence is 1.4%. We encountered a very rare case of repeat anastomotic recurrence due to tumor implantation after curative surgery for descending colon cancer.