title: Laparoscopic combined resection of synchronous gastric and colorectal cancer.
abstract: OBJECTIVE
  The aim of this study was to examine the feasibility of performing combined laparoscopic resection in patients with synchronous gastric and colorectal cancer.
  
  
  METHODS
  Thirty-six consecutive patients with synchronous gastric and colorectal cancer who underwent simultaneous combined resection were enrolled in this retrospective study.
  
  
  RESULTS
  Six patients underwent laparoscopic combined resection (lap group), whereas the other 30 patients underwent conventional open combined surgery (open group). Although the operative time was longer in the lap group than in the open group, there were no differences in the amount of intraoperative bleeding. Although there were no differences in the rates of postoperative complications between the 2 groups, the postoperative hospital stay was significantly shorter in the lap group. During a mean follow-up of 35 months, all 6 patients who underwent laparoscopic combined resection survived without any signs of recurrence.
  
  
  CONCLUSIONS
  Simultaneous laparoscopic resection is a feasible procedure in patients with synchronous gastric and colorectal cancer.
authors: Second Department of Surgery, School of Medicine, Wakayama Medical University, Wakayama, Japan.
authors: Toshiyasu
authors: T
authors: Ojima
authors: Mikihito
authors: M
authors: Nakamori
authors: Masaki
authors: M
authors: Nakamura
authors: Masahiro
authors: M
authors: Katsuda
authors: Takeshi
authors: T
authors: Iida
authors: Keiji
authors: K
authors: Hayata
authors: Katsunari
authors: K
authors: Takifuji
authors: Tsukasa
authors: T
authors: Hotta
authors: Shozo
authors: S
authors: Yokoyama
authors: Kenji
authors: K
authors: Matsuda
authors: Makoto
authors: M
authors: Iwahashi
authors: Hiroki
authors: H
authors: Yamaue
mesh_terms: D000368:Aged; D003082:Colectomy; D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D061646:Operative Time; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
references: Ojima T, Iwahashi M, Nakamori M, et al.. Association of allogeneic blood transfusions and long-term survival of patients with gastric cancer after curative gastrectomy. J Gastrointest Surg. 2009;13:1821–1830.
references: Sung JJ, Lau JY, Young GP, et al.. Asia Pacific consensus recommendations for colorectal cancer screening. Gut. 2008;57:1166–1176.
references: Kim HO, Hwang SI, Yoo CH, et al.. Preoperative colonoscopy for patients with gastric adenocarcinoma. J Gastroenterol Hepatol. 2009;24:1740–1744.
references: Park DI, Park SH, Yoo TW, et al.. The prevalence of colorectal neoplasia in patients with gastric cancer: a Korean Association for the Study of Intestinal Disease (KASID) Study. J Clin Gastroenterol. 2010;44:102–105.
references: Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–2059.
references: Jayne DG, Guillou PJ, Thorpe H, et al.. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol. 2007;25:3061–3068.
references: Veldkamp R, Kuhry E, Hop WC, et al.. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol. 2005;6:477–484.
references: Ojima T, Iwahashi M, Nakamori M, et al.. The impact of abdominal shape index of patients on laparoscopy-assisted distal gastrectomy for early gastric cancer. Langenbecks Arch Surg. 2012;397:437–445.
references: Kitano S, Shiraishi N, Fujii K, et al.. A randomized controlled trial comparing open vs. laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: an interim report. Surgery. 2002;131:S306–S311.
references: Hayashi H, Ochiai T, Shimada H, et al.. Prospective randomized study of open versus laparoscopy-assisted distal gastrectomy with extraperigastric lymph node dissection for early gastric cancer. Surg Endosc. 2005;19:1172–1176.
references: Tokunaga M, Hiki N, Fukunaga T, et al.. Laparoscopic surgery for synchronous gastric and colorectal cancer: a preliminary experience. Langenbecks Arch Surg. 2010;395:207–210.
references: Matsui H, Okamoto Y, Ishii A, et al.. Laparoscopy-assisted combined resection for synchronous gastric and colorectal cancer: report of three cases. Surg Today. 2009;39:434–439.
references: Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–213.
references: Hotta T, Takifuji K, Yokoyama S, et al.. Literature review of the energy sources for performing laparoscopic colorectal surgery. World J Gastrointest Surg. 2012;4:1–8.
references: Hotta T, Takifuji K, Yokoyama S, et al.. Rectal transection by the Nelaton catheter pulling method during a laparoscopic low anterior resection. Dis Colon Rectum. 2011;54:495–500.
references: Jackson TD, Kaplan GG, Arena G, et al.. Laparoscopic versus open resection for colorectal cancer: a metaanalysis of oncologic outcomes. J Am Coll Surg. 2007;204:439–446.