Simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy for synchronous carcinoma of rectum and stomach.
Laparoscopic resection of rectal cancer or gastric cancer has been advocated for the benefits of a reduced morbidity, a shorter treatment time, and similar outcomes. However, simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy for synchronous carcinoma of rectum and stomach are rarely documented in literature. Endoscopic examination revealed a synchronous carcinoma of rectum and stomach in a 55-year-old male patient with rectal bleeding and epigastric discomfort. He underwent a simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy with regional lymph nodes dissected. The operation time was 270 min and the estimated blood loss was 120 mL. The patient required parenteral analgesia for less than 24 h. Flatus was passed on postoperative day 3, and a solid diet was resumed on postoperative day 7. He was discharged on postoperative day 13. With the advances in laparoscopic technology and experience, simultaneous resection is an attractive alternative to a synchronous gastrointestinal cancer.
Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University, Shanghai 200025, China.
Qian-Lin
QL
Zhu
Min-Hua
MH
Zheng
Bo
B
Feng
Ai-Guo
AG
Lu
Min-Liang
ML
Wang
Jian-Wen
JW
Li
Wei-Guo
WG
Hu
Lu
L
Zang
Zhi-Hai
ZH
Mao
Feng
F
Dong
Jun-Jun
JJ
Ma
Ya-Ping
YP
Zong
D018279:Carcinoma, Signet Ring Cell / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome