title: Concurrent single-incision laparoscopic right hemicolectomy and sigmoidectomy for synchronous carcinoma: report of a case.
abstract: Synchronous colorectal tumors that require surgical treatments are rare. Preliminary experience with concurrent single-incision laparoscopic right hemicolectomy and sigmoidectomy for synchronous carcinoma is reported. A 61-year-old woman presented to our department for the close examination of a bloody stool. Colonoscopy revealed two masses in the right-sided transverse colon and sigmoid colon and another slightly elevated lesion in the transverse colon, and all biopsies from these three lesions demonstrated adenocarcinoma. Under the diagnosis of transverse colon cancers and sigmoid colon cancer, we performed simultaneous single-incision laparoscopic sigmoidectomy and right hemicolectomy. First, a lap protector was inserted through a 2.5 cm transumbilical incision. Three 5 mm ports were placed in the lap protector. We successfully performed sigmoidectomy and right hemicolectomy with lymph node dissection. The patient was discharged on the thirteenth postoperative day. Postoperative follow-up did not reveal any umbilical wound complications. SILS should be the treatment of choice for concurrent laparoscopic surgery for also the other diseases.
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Yasumitsu
authors.initials: Y
authors.lastname: Hirano
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Hattori
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sato
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Kazuya
authors.initials: K
authors.lastname: Maeda
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Douden
authors.affiliation: Department of Surgery, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, 910-8526 Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Hashizume
keywords: Concurrent laparoscopic surgery; Laparoscopic colectomy; Single-incision laparoscopic surgery