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Laparoscopy-assisted combined resection for synchronous gastric and colorectal cancer: Report of three cases

Surgery Today volume 39, pages 434–439 (2009)Cite this article

Abstract

In gastric cancer patients, the most common form of synchronous cancer is colorectal cancer. To reduce the invasiveness of the resection, a laparoscopy-assisted combined resection was performed in three patients with synchronous gastric and colorectal cancer. Although all gastric lesions were in the early stages, two colorectal lesions were advanced cases. In all cases, the laparoscopic gastric resection and reconstruction was performed first, followed by the colorectal resection. In the case of right-side colon cancer in addition to gastric cancer, it was relatively easy to perform the combined resection with lymph node dissection sharing the same ports used for the gastrectomy, although we needed an additional port. In one case, in which rectal cancer was present in addition to gastric cancer located in the upper portion of the stomach, a totally laparoscopic proximal gastrectomy was combined with a laparoscopy-assisted low anterior resection, leaving only a lower abdominal minilaparotomy wound. All patients quickly returned to normal activity without remarkable complications, with the exception of a wound infection in one patient. With a mean follow-up of 30.7 months, all patients survived without any sign of recurrence. This procedure represents a feasible option for minimally invasive treatment of synchronous gastric and colorectal cancer.

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Authors and Affiliations

  1. Department of Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan

    Hideo Matsui, Yuichi Okamoto, Kyoji Ogoshi & Hiroyasu Makuuchi

  2. Department of Surgery, Tokai University Tokyo Hospital, Tokyo, Japan

    Akiko Ishii, Kazuhiro Ishizu & Yasumasa Kondoh

  3. Department of Surgery, Eiju General Hospital, Tokyo, Japan

    Naoki Igarashi

Authors
  1. Hideo Matsui
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  2. Yuichi Okamoto
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  3. Akiko Ishii
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  4. Kazuhiro Ishizu
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  5. Yasumasa Kondoh
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  6. Naoki Igarashi
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  7. Kyoji Ogoshi
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  8. Hiroyasu Makuuchi
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Matsui, H., Okamoto, Y., Ishii, A. et al. Laparoscopy-assisted combined resection for synchronous gastric and colorectal cancer: Report of three cases. Surg Today 39, 434–439 (2009). https://doi.org/10.1007/s00595-008-3870-z

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  • DOI: https://doi.org/10.1007/s00595-008-3870-z

Key words

  • Gastric cancer
  • Synchronous cancer
  • Laparoscopy