Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Diseases of the Colon & Rectum
Published in: Diseases of the Colon & Rectum 9/2004

01-09-2004 | Case Reports

Second Anastomotic Recurrence After Radical Left Hemicolectomy: Report of a Case

Authors: Luigi Roncoroni, M.D., Renato Costi, M.D., Federico Marchesi, M.D., Lorena Bottarelli, B.Sc.P., Leopoldo Sarli, M.D., Vincenzo Violi, M.D., Cesare Bordi, M.D.

Published in: Diseases of the Colon & Rectum | Issue 9/2004

Login to get access

Abstract

A number of patients undergoing curative colorectal resection present with local recurrences that are not resectable at the time of diagnosis. Whereas these are predominantly perianastomotic, only a few are primarily anastomotic occurring at the suture line. A 65-year-old female with Dukes B2 adenocarcinoma of the sigmoid colon after a radical left hemicolectomy had further resections with stapled anastomosis at 12 and 22 months, for primary anastomotic recurrences. She remains well 54 months after initial surgery. The recurrent cancers were histologically similar and showed no features of microsatellite instability. The microenvironment at the anastomosis and the suture material must have contributed to this unusual course.
Literature
1.
Marsh, PJ, James, RD, Schofield, PF 1995Definition of local recurrence after surgery for rectal carcinomaBr J Surg824658PubMed
2.
Abulafi, AM, Williams, NS 1994Local recurrence of colorectal cancer: the problems, mechanisms, management and adjuvant therapyBr J Surg81719PubMed
3.
Umpleby, HC, Williamson, RC 1987Anastomotic recurrence in large bowel cancerBr J Surg748738PubMed
4.
van den Tol, PM, Rossen, EE, Eijck, CH, Bonthuis, F, Marquet, RL, Jeekel, H 1998Reduction of peritoneal trauma by using non surgical gauze leads to less implantation metastasis of spilled tumor cellsAnn Surg2272428PubMed
5.
Roe, R, Fermor, B, Williamson, RC 1987Proliferate instability and experimental carcinogenesis at colonic anastomosesGut283125
6.
Pietra, N, Sarli, L, Costi, R, Choua, O, Grattarola, M, Peracchia, A 1998Role of follow up in the management of local recurrences of colorectal cancer: a prospective randomized studyDis Colon Rectum41112733PubMed
7.
Knight, CD, Griffen, FD 1980An improved technique for low anterior resection of the rectum using the EEA staplerSurgery887104PubMed
8.
D’Adda, T, Pizzi, S, Azzoni, C,  et al. 2002Different patterns of 11q allelic losses in digestive endocrine tumoursHum Pathol333229PubMed
9.
Jen, J, Kim, H, Piantadosi, S,  et al. 1994Allelic loss of chromosome 18q and prognosis in colorectal cancerN Engl J Med33121321CrossRefPubMed
10.
Halling, KC, French, AJ, McDonnell, SK,  et al. 1999Microsatellite instability and 8p allelic imbalance in stage B2 and C colorectal cancersJ Natl Cancer Inst911295303PubMed
11.
Arribas, R, Ribas, M, Risques, RA,  et al. 1999Prospective assessment of allelic losses at 4p14-16 in colorectal cancer: two mutational patterns and a locus associated with poorer survivalClin Cancer Res534549PubMed
12.
Peracchia, A, Sarli, L, Pietra, N, Giunta, A 1996La recidiva loco-regionalePeracchia, ASarli, L eds. Il Cancro del colon e del retto operatoMinerva Medica EdTorino12351
13.
Obrand, DI, Gordon, PH 1997Incidence and patterns of recurrence following curative resection for colorectal carcinomaDis Colon Rectum401524PubMed
14.
Pietra, N, Sarli, L, Thenasseril, BJ, Costi, R, Sansebastiano, G, Peracchia, A 1998Risk factors of local recurrence of colorectal cancer: a multivariate studyHepatogastroenterology4515738PubMed
15.
Jenner, DC, Boer, WB, Clark, G, Levitt, MD 1998Rectal washout eliminates exfoliated malignant cellsDis Colon Rectum4114324PubMed
16.
O’Donnell, AF, O’Donnell, PR, Royston, D, Johnston, DH, Barnard, R, Bouchier-Hayes, D 1991Suture technique affects perianastomotic colonic crypt cell production and tumour formationBr J Surg786714PubMed
17.
McCue, JL, Sheffield, JP, Uff, C, Phillips, RK 1992Experimental carcinogenesis at sutured and sutureless colonic anastomosesDis Colon Rectum359029PubMed
18.
Hurst, PA, Prout, WG, Kelly, JM, Bannister, JJ, Walker, RT 1982Local recurrence after low anterior resection using the staple gunBr J Surg692756PubMed
19.
Docherty, JG, McGregor, JR, Akyol, AM, Murray, GD, Galloway, DJ 1995Comparison of manually constructed and stapled anastomoses in colorectal surgery. West of Scotland and Highland Anastomosis Study GroupAnn Surg22117684PubMed
20.
Redmond, HP, Austin, OM, Clery, AP, Deasy, JM 1993Safety of double-stapled anastomosis in low anterior resectionBr J Surg809247PubMed
21.
Shuto, T, Tsukamoto, T, Ohta, Y, Takemura, M, Ikebe, T, Kinoshita, H 1999Anastomotic recurrence due to tumor implantation using the double stapling techniqueHepatogastroenterology4625212PubMed
22.
Nomdedeu-Guinot, J, Giber-Gerez, J, Reig, IC, Sanchis, JL, Planelles, RC, Castillo, JR 2001Suture materials and local recurrence in colorectal cancer: an experimental studyEur J Surg1671425PubMed
23.
Rodriguez-Bigas, MA, Stulc, JP, Davidson, B, Petrelli, NJ 1992Prognostic significance of anastomotic recurrence from colorectal adenocarcinomaDis Colon Rectum3583842PubMed
Metadata
Title
Second Anastomotic Recurrence After Radical Left Hemicolectomy: Report of a Case
Authors
Luigi Roncoroni, M.D.
Renato Costi, M.D.
Federico Marchesi, M.D.
Lorena Bottarelli, B.Sc.P.
Leopoldo Sarli, M.D.
Vincenzo Violi, M.D.
Cesare Bordi, M.D.
Publication date
01-09-2004
Publisher
Springer-Verlag
Published in
Diseases of the Colon & Rectum / Issue 9/2004
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-004-0617-9

Other articles of this Issue 9/2004

Diseases of the Colon & Rectum 9/2004 Go to the issue

Technical Notes

Full-Thickness Pouch Prolapse After Restorative Proctocolectomy: A Potential Future Problem Treated by the New Technique of External Pelvic Neorectal Suspension (the Express Procedure)

OriginalPaper

Announcements

Technical Notes

Surgisis™ Mesh: A Novel Approach to Repair of a Recurrent Rectovaginal Fistula

Original Contributions

Intraperitoneal Administration of Adenosine Inhibits Formation of Abdominal Adhesions

Letters to the Editor

LigaSure™ vs. Diathermy Hemorrhoidectomy

Case Reports

Sacral Nerve Stimulation for Treatment of Fecal Incontinence in a Patient With Muscular Dystrophy: Report of a Case