Simultaneous total laparoscopic curative resection for synchronous gastric, cecal and rectal cancer: Report of a case.

Research paper by Masaaki M Iwatsuki, Hideyuki H Tanaka, Kenji K Shimizu, Katsuhiro K Ogawa, Kensuke K Yamamura, Nobuyuki N Ozaki, Shinichi S Sugiyama, Kenichi K Ogata, Koichi K Doi, Hideo H Baba, Hiroshi H Takamori

Indexed on: 23 Dec '14Published on: 23 Dec '14Published in: International Journal of Surgery Case Reports


Gastric cancer (GC) and colorectal cancer (CRC) are often diagnosed simultaneously. Recent technological advances in surgical techniques and devices have enabled the use of laparoscopic approaches for GC and CRC. Laparoscopic resection is expected to increase the number of cases of synchronous gastrointestinal (GI) cancers that meet the indication for laparoscopic surgery, owing to early detection of GI cancers and extended indications for laparoscopic surgery.We herein report a successful simultaneous total laparoscopic curative resection for synchronous early GC, early cecal cancer and advanced rectal cancer. The total time of the operation was 600min, and the estimated blood loss was 250ml. The patient was discharged on postoperative day (POD) 10 without postoperative complications.Simultaneous total laparoscopic surgery is a minimally invasive, feasible treatment option for synchronous GI cancers.