Laparoscopic surgery is now widely accepted because of its many benefi
ts. We have successfully performed laparoscopic curative resection in
72 patients with colon cancer or polyps. Of these patients, seven with
cecal creeping tumor underwent laparoscopic local cecum excision (cec
ectomy). The creeping tumor is often found in the rectum and cecum. It
is extremely difficult to remove endoscopically because of its shape
and size. In addition, the recurrence rate after endoscopic mucosal re
section is high. Therefore, laparoscopic cecectomy was thought to be a
suitable procedure for such cases. This procedure was performed intra
corporeally by using an ENDO-GIA and was less invasive than the extrac
orporeal procedure. These tumors, which showed local cancer limited to
the mucosa or tubular adenoma with severe dysplasia in pathological f
indings, were resected completely. All patients tolerated liquids 1 da
y postoperatively and were discharged within 5 days. Our experience su
ggests that laparoscopic cecectomy has the potential to be useful for
cecal creeping tumors.