Multiple small bowel metastasis after laparoscopically assisted abdominoperineal resection.

Long-term outcome after laparoscopic surgery for colorectal cancer is still unknown. Trocar-site implantation and local recurrence has raised concerns about this new method. We present a case of a laparoscopically assisted abdominoperineal resection (APR) with small bowel recurrence 19 months after the APR. A review of the literature also is presented.