Two-Step Laparoscopic Surgery for a Patient with Synchronous Double Cancer of the Colon and Stomach Accompanied by Severe Chronic Obstructive Pulmonary Disease

Yajima, Kazuhito; Kosugi, Shin‐ichi; Kano, Yosuke; Hanyu, Takaaki; Ichikawa, Hiroshi; Ishikawa, Takashi; Nogami, Hitoshi; Wakai, Toshifumi

doi:10.1155/2013/246515

Cited by 3 publications

(5 citation statements)

References 13 publications

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“…В обоих случаях регионарной лимфоаденопатии не зарегистрировано. При наблюдении в течение 24 мес прогрессирования заболевания не зарегистрировано [10].…”

Section: Discussionunclassified

Minimally invasive treatment of multiple primary tumors of the gastrointestinal tract. Clinical observation

Madyarov,

Filatov,

Kulikov

et al. 2023

jour

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For now days we don’t have any guidelines for the treatment of synchronous and metachronous tumors of the upper and lower gastrointestinal tract. In this case report, we are talking about optimal treatment strategy in a patient with early gastric cancer, a neuroendocrine tumor of the sigmoid colon, and a locally advanced rectal cancer. The patient underwent laparoscopic gastrectomy and endoscopic excision of the early neuroendocrine tumor of the sigmoid colon. View of the local advanced rectal cancer patient underwent combined preoperative “sandwich” treatment with 2 courses of chemotherapy before a long course of chemoradiotherapy and 2 courses of chemotherapy after. The treatment was well tolerated. Ten weeks later, the patient gets surgical procedure: laparoscopic low anterior resection with loop colostomy followed by adjuvant chemotherapy. At the end of chemotherapy colostomy closure was done. The minimally invasive surgical treatment is safe and feasible in patients with synchronous malignancies of upper and lower gastrointestinal tract. Fast track rehabilitation and minimal surgical trauma ensure timely delivery of chemotherapy.

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Section: Discussionunclassified

Minimally invasive treatment of multiple primary tumors of the gastrointestinal tract. Clinical observation

Madyarov,

Filatov,

Kulikov

et al. 2023

jour

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“…1,2 Consequently, several cases of simultaneous laparoscopic tumor excision have been reported. 3,4 Minimally invasive robotic surgery has become widespread in Japan, with the da Vinci Xi system being one of the most commonly used. 5,6 However, the settings of the da Vinci system for different target organs remains complicated.…”

Section: Introductionmentioning

confidence: 99%

“…Due to the improving techniques in cancer diagnostics and treatments and increased life expectancy, MPMTs have become more common 1,2 . Consequently, several cases of simultaneous laparoscopic tumor excision have been reported 3,4 …”

Section: Introductionmentioning

confidence: 99%

Robotic surgery for simultaneous gastric and rectal cancers

Ojima

Yamada

Takada

et al. 2022

Asian J Endoscop Surgery

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The number of patients with multiple primary malignancies is increasing due to the improvements in diagnostic techniques, which increases the necessity of simultaneous resection. Meanwhile, minimally invasive robotic surgery is becoming popular in Japan, and its use in multiple cancer resection will increase. We present our experience with the settings and ports placement when using the da Vinci Xi system for simultaneous resection of rectal and gastric cancer.

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“…It is often difficult to determine an appropriate treatment strategy for multiple liver metastases of synchronous gastric cancer and colorectal cancer. Multidisciplinary treatment is required based on the progression and location of each tumor and chemotherapy for complete resection [1]. Recent developments in chemotherapy and the device of minimally invasive surgical procedures such as laparoscopic surgery enabled the successful complete resection of synchronous double cancer with multidisciplinary treatment [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Multidisciplinary treatment is required based on the progression and location of each tumor and chemotherapy for complete resection [1]. Recent developments in chemotherapy and the device of minimally invasive surgical procedures such as laparoscopic surgery enabled the successful complete resection of synchronous double cancer with multidisciplinary treatment [1,2]. We experienced an important case of synchronous double cancer of the transverse colon and stomach accompanied by multiple liver metastases that was completely resected following S-1 and oxaliplatin (SOX) plus bevacizumab, and the pathological findings showed complete response in the gastric cancer and liver metastases.…”

Section: Introductionmentioning

confidence: 99%

Multiple liver metastases with synchronous gastric and transverse colon cancer diagnosed by gastric perforation successfully treated by SOX plus bevacizumab and completely resected by surgery: a case report

et al. 2020

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Background: Synchronous double cancer of the colon and stomach accompanied by liver metastasis is rare. It is often difficult to determine an appropriate treatment strategy for multiple liver metastases of synchronous gastric cancer and colorectal cancer. Multidisciplinary treatment is required based on the progression and location of each tumor and chemotherapy for complete resection. Case presentation: A 57-year-old male who complained of acute abdominal pain and fever visited his local hospital. He underwent emergent surgery for peritonitis caused by a gastric perforation. The cytodiagnosis of ascites did not show any tumor cells. There was a liver metastasis in the lateral segment of the liver. We performed a primary closure of the defect and then applied an omentum flap. After surgery, the patient was diagnosed as having synchronous cStage IV transverse colon cancer with multiple liver metastases and cStage IIB gastric cancer. The [18F]-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) showed 18F-FDG uptake by the colon tumor and multiple liver metastases, but there was no uptake in the gastric tumor or lymph nodes. We retrospectively reevaluated the CT findings from a local hospital and detected a liver nodule in segment 2/3 (from 35 to 60 mm) and segment 6 (from 26 to 57 mm), and the tumors had dramatically grown in size in only 2 months. Because complete tumor resection would be difficult, S-1 and oxaliplatin (SOX) plus bevacizumab therapy was started to control tumor progression. After 20 courses of chemotherapy, the clinical diagnosis was ycStage IV transverse colon cancer and ycStage IIa gastric cancer. We planned a two-step procedure to completely resect the primary tumors and multiple liver metastases. We first performed a laparoscopic rightcolon resection+D3 lymphadenectomy and open distal gastrectomy+D2 lymphadenectomy. The patient was discharged home on postoperative day 18. After 1 month, we performed open liver resection. The pathological findings showed that the transverse colon was ypT2 (MP) with grade 2 therapeutic effects and that there were no atypical cells in the gastric tumor and multiple liver nodules (pathological complete response).

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Two-Step Laparoscopic Surgery for a Patient with Synchronous Double Cancer of the Colon and Stomach Accompanied by Severe Chronic Obstructive Pulmonary Disease

Cited by 3 publications

References 13 publications

Minimally invasive treatment of multiple primary tumors of the gastrointestinal tract. Clinical observation

Minimally invasive treatment of multiple primary tumors of the gastrointestinal tract. Clinical observation

Robotic surgery for simultaneous gastric and rectal cancers

Multiple liver metastases with synchronous gastric and transverse colon cancer diagnosed by gastric perforation successfully treated by SOX plus bevacizumab and completely resected by surgery: a case report

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