The incidence of synchronous colorectal and renal cancers is reportedly as low as 0.33%. Simultaneous surgery for multi-organ cancers has been reported to have several advantages if tolerated by the patient. In addition, robotic surgery has gained wide application in various fields, but few reports exist on total robotic surgery involving multiple organ resections. We performed simultaneous total robotic surgery on a patient with combined colorectal and renal cancers. Before surgery, we examined the procedure with the surgical team, shared a portion of the trocar site without impairing the operability of the robotic surgery and performed the surgery safely. Further examinations are required to standardize the procedure for simultaneous robotic surgery for multi-organ cancers.

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