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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Laparoscopic-assisted colectomy in a patient with colon cancer after percutaneous endoscopic gastrostomy

World Journal of Surgical Oncology > Ausgabe 1/2012
Hirotoshi Kobayashi, Tetsuro Higuchi, Hiroyuki Uetake, Satoru Iida, Toshiaki Ishikawa, Kenichi Sugihara
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-116) contains supplementary material, which is available to authorized users.

Competing interest

The authors declared that they have no competing interests.

Authors’ contributions

HK wrote the main manuscript and performed the operation. All authors read and approved the final manuscript.



A number of patients undergo percutaneous endoscopic gastrostomy (PEG) under various conditions. Open colectomy is usually performed for colon cancer in patients with PEG because the safety of the laparoscopic approach for such patients has not been established. However, if the laparoscopic approach is possible in patients with PEG, it will be less invasive and more helpful in rehabilitation into society.

Case presentation

We describe the case of a 64-year-old male with a T1 adenocarcinoma of the ascending colon 2 years after surgery for nasal cancer and PEG for dysphagia. The patient did not have any distant metastases or malignant tumors on preoperative computed tomography and positron-emission tomography. He underwent laparoscopic-assisted colectomy (LAC) with lymph node dissection. No complications developed during or after the surgery.


LAC could be a potential option for the treatment of colon cancer in patients who have undergone PEG. To our knowledge, this is the first recorded case of an ascending colon cancer treated with LAC under the condition of gastrostoma.
Authors’ original file for figure 1
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