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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2026, Vol. 15 ›› Issue (01): 85-89. doi: 10.3877/cma.j.issn.2095-3224.2026.01.009

• Case Report • Previous Articles    

Sequential transverse colonic lengthening for familial adenomatous polyposis with rectal cancer: a case report

Aqiang Fan1, Mian Wang1, Jinqiang Liu1, Haojie Wu2, Jian Wang3, Liu Hong,1()   

  1. 1Department of Digestive Surgery, Xijing Hospital of Digestive Diseases, Air Force Medical University, Xi’an 710032, China
    2Department of Oncology & Geriatrics, Xi’an Fengcheng Hospital, Xi’an 710018, China
    3First Department of Surgery, Xixiang County Hospital of Traditional Chinese Medicine, Hanzhong 723599, China
  • Received:2025-11-19 Online:2026-02-25 Published:2026-03-20
  • Contact: Liu Hong

Abstract:

This case report presents a patient with familial adenomatous polyposis (FAP) and low rectal cancer who underwent radical anterior resection of the rectum, total colectomy, and transverse colonic lengthening. This approach achieved complete tumor resection while avoiding a permanent colostomy and improving postoperative bowel function. The patient initially received a prophylactic loop ileostomy during the first-stage surgery, which has since been successfully reversed. During follow-up, the patient has maintained good general health, preserved bowel function, and has resumed normal daily activities.

Key words: Rectal cancer, Familial adenomatous polyposis, Colonic lengthening

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