CASE REPORTS OF THREE CASES IN WHICH EXTIRPATION OF LOCALLY RECURRENT COLORECTAL TUMORS WAS COMBINED WITH SACRAL RESECTION

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We experienced three cases in which extirpation of locally recurrent colorectal cancer was combined with sacral resection. Case 1: A 70-year-old man underwent low anterior resection for rectal cancer. Three years later a local recurrent lesion was found near the sacrum. Then the tumor was excised with sacral resection (S2-3). Case 2: A 50-year-old man, who had undergone Miles' operation for rectal cancer 13 months before, was diagnosed as having local recurrence near the coccyx. The recurrent cancer was locally excised with sacral resection (S3-4). Case 3: A 53-year-old woman undergone Hartmann's operation for cancer of the sigmoid colon. Twelve months later a local recurrent lesion was found near the residual rectal stump. The residual rectum was combined with resection of the sacrum (S2-3) and the vagina. The prognosis is not good in patients who receive reoperations for locally recurrent tumors in the pelvis, but extirpation of local tumors seems to help extend survival time and symptom-free intervals. Periodical follow-up studies should be made from the early post-operative period. The earlier a recurrent lesion is found, the less invasive resection is required. High amputation of the sacrum (S2-3) caused neither musculoskeletal disability nor bladder dysfunction.
日本臨床外科学会の論文