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.
Zhu
Qian-Lin
QL
Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University, Shanghai 200025, China.
Zheng
Min-Hua
MH
Feng
Bo
B
Lu
Ai-Guo
AG
Wang
Min-Liang
ML
Li
Jian-Wen
JW
Hu
Wei-Guo
WG
Zang
Lu
L
Mao
Zhi-Hai
ZH
Dong
Feng
F
Ma
Jun-Jun
JJ
Zong
Ya-Ping
YP
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