Zhu QL, Zheng MH, Feng B, Lu AG, Wang ML, Li JW, Hu WG, Zang L, Mao ZH, Dong F, Ma JJ, Zong YP. Simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy for synchronous carcinoma of rectum and stomach. World J Gastroenterol 2008; 14(21): 3435-3437 [PMID: 18528944 DOI: 10.3748/wjg.14.3435]
Corresponding Author of This Article
Min-Hua Zheng, Department of General Surgery, Ruijin Hospital Affiliated to Shanghai Jiaotong University, Shanghai Minimally Invasive Surgery Center, Shanghai 200025, China. zqlalani@163.com
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Qian-Lin Zhu, Min-Hua Zheng, Bo Feng, Ai-Guo Lu, Min-Liang Wang, Jian-Wen Li, Wei-Guo Hu, Lu Zang, Zhi-Hai Mao, Feng Dong, Jun-Jun Ma, Ya-Ping Zong, Department of General Surgery, Ruijin Hospital Affiliated to Shanghai Jiaotong University; Shanghai Minimally Invasive Surgery Center, Shanghai 200025, China
Author contributions: Zheng MH and Zhu QL contributed equally to this work; Zheng MH, Lu AG, Wang ML, Li JW and HU WG performed the operation; Feng B, Zang L, Mao ZH, Dong F, Ma JJ and Zong YP assisted in the reference research; Zhu QL, Feng B and Ma JJ wrote the paper.
Correspondence to: Min-Hua Zheng, Department of General Surgery, Ruijin Hospital Affiliated to Shanghai Jiaotong University, Shanghai Minimally Invasive Surgery Center, Shanghai 200025, China. zqlalani@163.com
Telephone: +86-21-64458887
Fax: +86-21-64458887
Received: February 29, 2008 Revised: April 10, 2008 Accepted: April 17, 2008 Published online: June 7, 2008
Abstract
Laparoscopic resection of rectal cancer or gastric cancer has been advocated for the benefits of a reduced morbidity, a shorter treatment time, and similar outcomes. However, simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy for synchronous carcinoma of rectum and stomach are rarely documented in literature. Endoscopic examination revealed a synchronous carcinoma of rectum and stomach in a 55-year-old male patient with rectal bleeding and epigastric discomfort. He underwent a simultaneous laparoscopy-assisted low anterior resection and distal gastrectomy with regional lymph nodes dissected. The operation time was 270 min and the estimated blood loss was 120 mL. The patient required parenteral analgesia for less than 24 h. Flatus was passed on postoperative day 3, and a solid diet was resumed on postoperative day 7. He was discharged on postoperative day 13. With the advances in laparoscopic technology and experience, simultaneous resection is an attractive alternative to a synchronous gastrointestinal cancer.
