Dkw. Chew et al., Peritoneal mucinous carcinomatosis after laparoscopic-assisted anterior resection for early rectal cancer - Report of a case, DIS COL REC, 42(3), 1999, pp. 424-426
Minimally invasive colon surgery has been shown to be both technically feas
ible and a safe alternative to laparotomy. Its efficacy for the curative re
section of colorectal cancer, however, remains controversial. Of major conc
ern are the increasing reports of port-site recurrence after use of laparos
copic techniques in malignant disease. In this article a heretofore unrepor
ted complication of peritoneal mucinous carcinomatosis after laparoscopic-a
ssisted anterior resection for early stage rectal cancer is presented. Isol
ated peritoneal recurrence is rare after curative resection of Stage I rect
al cancer. The effect of pneumoperitoneum on tumor dissemination is discuss
ed.