The problem of suture line recurrence following resection for cancer of the colon has been well recognized by surgeons for many years. Many authors have documented this fact, and the incidence has been reported to vary from 1% to 36%. Cole1 and Goligher2 first implicated intraluminal tumor cells dislodged at the time of mobilization of the tumor at operation and deposited at the fresh anastomosis suture line as a factor in this recurrence.
That residual tumor indeed may be manipulated into the bowel lumen was reemphasized during a recent low anterior resection.
Report of a Case.—A 68-year-old man was seen with a large adenocarcinoma at the peritoneal reflexion extending into the pelvis. It was elected to do a low anterior resection rather than a Miles operation because there was sufficient normal bowel below the tumor after mobilization and because of the availability of the recently developed End-to-End
LOUGHRY CW, FIEGENSCHUH WH. Rectal Stump Tumor Fragments Low Anterior Resections: A Case Report. Arch Surg. 1979;114(5):639. doi:10.1001/archsurg.1979.01370290089022