title: Two-stage laparoscopic curative resection for synchronous multiple colorectal cancers: A case report.
abstract: A 75-year-old man tested positive for occult blood in the stool. A subsequent examination indicated concurrent locally advanced cancer (cT3) at the hepatic flexure and lower rectum cancer in the external anal sphincter. Because of the locally advanced rectal cancer (cT4), preoperative chemoradiotherapy was administered. First, laparoscopic right hemicolectomy and colostomy were performed at the sigmoid colon. Chemoradiotherapy for rectal cancer was initiated on day 18 after the surgeries. Seven weeks after chemoradiotherapy had been completed, laparoscopic abdominoperineal resection and right lateral pelvic lymph node dissection were performed. This case demonstrated that a second radical surgery for rectal cancer could be performed safely and laparoscopically after laparoscopic colectomy and colostomy.
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan. trina@juntendo.ac.jp.
authors.forename: Rina
authors.initials: R
authors.lastname: Takahashi
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Sakamoto
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Tomiki
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kojima
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Takahashi
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Kiichi
authors.initials: K
authors.lastname: Sugimoto
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Masaya
authors.initials: M
authors.lastname: Kawai
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Yu
authors.initials: Y
authors.lastname: Okazawa
authors.affiliation: Department of Coloproctological Surgery, Juntendo University Faculty of Medicine, Tokyo, Japan.
authors.forename: Yurika
authors.initials: Y
authors.lastname: Makino
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D003125:Colostomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: CRT; laparoscopic surgery; synchronous multiple colon cancers