title: Simultaneous robotic subtotal gastrectomy and right hemicolectomy for synchronous adenocarcinoma of stomach and colon.
abstract: Simultaneous laparoscopy-assisted resection for synchronous stomach and colon cancers has been reported frequently; however, robot-assisted gastrectomy and colectomy for these conditions are rarely reported. We report the successful use of robotic surgery for synchronous cancers of the stomach and colon. A 71-year-old woman with no specific medical history was diagnosed with early gastric cancer at the gastric angle and right colon cancer after undergoing esophagogastroduodenoscopy and colonofiberoscopy. Abdomino-pelvic computed tomography revealed that the stomach and colon lesions were limited to the mucosa without any lymph nodes or distant metastasis, which suggested the clinical stage for both cancers as T1N0M0. We performed robot-assisted radical subtotal gastrectomy and simultaneous right hemicolectomy through six ports. All procedures were successful without any perioperative complications. A 36-month postoperative follow-up of the patient at the outpatient department revealed no evidence of recurrence. We consider that concurrent robot-assisted subtotal gastrectomy and colectomy are technically feasible and safe.
authors.affiliation: Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundaero, Haeundae-gu, Busan, 612-862, Korea. oltx62@hanmail.net.
authors.forename: Byoung Jo
authors.initials: BJ
authors.lastname: Suh
authors.affiliation: Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundaero, Haeundae-gu, Busan, 612-862, Korea.
authors.forename: Sung Jin
authors.initials: SJ
authors.lastname: Oh
authors.affiliation: Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundaero, Haeundae-gu, Busan, 612-862, Korea.
authors.forename: Jin Yong
authors.initials: JY
authors.lastname: Shin
authors.affiliation: Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundaero, Haeundae-gu, Busan, 612-862, Korea.
authors.forename: Do Hoon
authors.initials: DH
authors.lastname: Ku
authors.affiliation: Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundaero, Haeundae-gu, Busan, 612-862, Korea.
authors.forename: Dong Sik
authors.initials: DS
authors.lastname: Bae
authors.affiliation: Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeundaero, Haeundae-gu, Busan, 612-862, Korea.
authors.forename: Jong Kwon
authors.initials: JK
authors.lastname: Park
mesh_terms: D000368:Aged; D003082:Colectomy / Q000295:instrumentation / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery*; D013525:Surgical Instruments; D016896:Treatment Outcome
keywords: Colon cancer; Gastric cancer; Robotic surgery