Simultaneous Laparoscopic Nephrectomy and Colectomy for Synchronous Primary Malignancies: Surgical Techniques and the Results of Two Cases

Abstract

A series of randomized studies have revealed comparable long-term results for both laparosopic and open resections in the treatment of renal and colonic neoplasms. From a purely oncological perspective, the benefit-detriment debate regarding synchronous laparoscopic resections remains a hotly disputed issue and continues to face scrutiny in today's medical community. However, although this debate has become an important issue, there are few reports in mainstream literature discussing the simultaneous laparoscopic resection of renal and colorectal carcinomas. This report overviews two entirely laparoscopic procedures: a simultaneously performed right nephrectomy and left colectomy and a simultaneously performed left nephrectomy and left colectomy. The laparoscopic technique for simultaneous abdominal primary malignancy has proven to be safe, effective, and practicable. This paper will overview the authors' experience with such procedures, outlining technical setbacks in the course of surgery and discussing the overall results of the operations.