[A Case of Local Recurrence of Ascending Colon Cancer Successfully Resected by Laparoscopic Surgery]

A 93-year-old woman was emergently admitted to our hospital diagnosed with femoral neck fracture. She had a previous history of undergoing laparoscopic right hemicolectomy for ascending colon cancer 2 years and 4 months ago, and blood examination showed severe anemia. Detailed inspection was then performed, and she was diagnosed as having local recurrence of previous ascending colon cancer. To prevent further bleeding, she underwent laparoscopic surgery. The tumor was located nearby hepatic flexure, and direct invasion to the duodenum and the Gerota's fascia was suspected. The region including recurrent tumor was carefully dissected from the surroundings enough to exteriorize, and the involved specimen was excised and reconstructed extracorporeally. She was discharged 16 days after surgery. Her performance status(PS)had been kept as same as preoperative condition since she died of progression of liver metastases. Although there are no definite treatment guidelines for local recurrence of colon cancer, surgery might be selected in technically resectable cases accompanied by some kind of symptoms. Laparoscopic surgery could be performed with low invasiveness, and afford big advantage even for patients with poor PS. Since surgeons can perform sophisticated dissection process by the magnified view provided by a laparoscope, safe laparoscopic surgery might be one of the candidates of effective approaches for the treatment of local recurrence of colon cancer.