Simultaneous totally laparoscopic radical nephrectomy and laparoscopic left hemicolectomy for synchronous renal and sigmoid colon carcinoma: report of a case
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Synchronous asymptomatic renal neoplasms may be found in up to 3.8% of patients with colorectal cancer. There are few reports, however, that have presented a simultaneous resection of both renal and colorectal disease. We performed synchronous laparoscopic radical nephrectomy and laparoscopic left hemicolectomy in a 74-year-old man with coexistent renal and colonic double primary malignant tumors. To our knowledge this represents the first case reported in the literature.
For left radical nephrectomy the patient was placed in the right semilateral position (rotated 70°) and the table was flexed. The first 10/12-mm trocar was placed with an open procedure approximately halfway between the umbilicus and the costal margin. The pneumoperitoneum was established through this port and a pressure of 12 mmHg was maintained. The 30° telescope was then advanced for the initial exploration. Two additional 10/12-mm trocars were then inserted under laparoscopic view, one midline in the...