Tranchart Hadrien, Benoist Stéphane, Penna Christophe, Julie Catherine, Rougier Philippe, Nordlinger Bernard
Department of Surgery, AP-HP, Hôpital Ambroise Paré, Boulogne, France.
Dis Colon Rectum. 2008 Dec;51(12):1850-2. doi: 10.1007/s10350-008-9338-9. Epub 2008 May 17.
Cutaneous perianal recurrence is rare after anterior resection for rectal cancer. In most cases, exfoliated tumor cells almost certainly seeded onto an area of anal canal that was injured by the head of the stapling gun used for the fashion of stapled colorectal anastomosis. The first two cases of cutaneous perineal recurrence on the site of a Lone Star Retractor after handsewn J-pouch coloanal anastomosis for rectal cancer are presented. In two cases, recurrence occurred on the scars induced by elastic stay hook of Lone Star retractor. Both cases were treated by local excision alone. At one year of follow-up, there were no signs of local recurrence.
直肠癌前切除术后肛周皮肤复发罕见。在大多数情况下，脱落的肿瘤细胞几乎肯定种植在肛管的某个区域，该区域因用于吻合器结直肠吻合术的吻合器头部而受损。本文报告了首例直肠癌手工缝合J形贮袋结肠肛管吻合术后，在Lone Star牵开器部位出现会阴皮肤复发的病例。2例患者均在Lone Star牵开器弹性固定钩所致瘢痕处复发。2例均仅行局部切除治疗。随访1年，无局部复发迹象。
