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.

Early gastric cancer with three gastric gastrointestinal stromal tumors combined with synchronous colon cancer: A case report

“…A long midline incision would have been inevitable if we could not proceed with the laparoscopic technique for gastrectomy and colectomy. This type of incision could lead to many complications, such as increased postoperative pain, reduced ambulation, and increased length of postoperative hospital stay [16]. Laparoscopic surgery has recently become a popular option and has been gradually replacing conventional open surgery in several elds of abdominal surgery.…”

Early gastric cancer with three gastric gastrointestinal stromal tumors combined with synchronous colon cancer: a case report

“…A long midline incision would have been inevitable if we could not proceed with the laparoscopic technique for gastrectomy and colectomy. This type of incision could lead to several complications, such as increased postoperative pain, reduced ambulation, and increased length of postoperative hospital stay [17]. Laparoscopic surgery has recently become a popular option and has been gradually replacing the conventional open surgery in several fields of abdominal surgery.…”

Experience and technique of simultaneous robotic resection for synchronous advanced gastric and rectal cancers: a case report

“…Second, the operative time was long. In previous reports, the operative time of the simultaneous robotic surgery for GC and RC was 640 min [12], and in this Fig. 5 Operating room settings.…”

“…Although there are some reports on simultaneous laparoscopic surgery for synchronous GC and CRC [ 8 – 11 ], this is the first report on simultaneous total robotic curative resection for synchronous advanced GCs and RCs. Byoung et al first reported simultaneous robotic surgery for GC and right colon cancer [ 12 ]. Although both GC and CRC were advanced cancers in this case, robotic surgery had advantages for both peripancreatic lymph node dissection for GC surgery [ 13 , 14 ] and pelvic manipulation (especially to reduce neuropathy and urinary retention) for RC surgery [ 4 , 15 ] and was therefore selected to reduce postoperative complications and allow for a smooth introduction of postoperative chemotherapy for GC.…”