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Case Reports
. 2017 Sep;11(3):377-380.
doi: 10.1007/s11701-017-0681-5. Epub 2017 Jan 21.

Simultaneous Robotic Subtotal Gastrectomy and Right Hemicolectomy for Synchronous Adenocarcinoma of Stomach and Colon

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Free PMC article
Case Reports

Simultaneous Robotic Subtotal Gastrectomy and Right Hemicolectomy for Synchronous Adenocarcinoma of Stomach and Colon

Byoung Jo Suh et al. J Robot Surg. .
Free PMC article

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.

Keywords: Colon cancer; Gastric cancer; Robotic surgery.

Conflict of interest statement

Conflict of interest

Byoung Jo Suh, Sung Jin Oh, Jin Yong Shin, Do Hoon Ku, Dong Sik Bae, and Jong Kwon Park declare that they have no conflict of interest.

Statement of ethics

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 [5]. Informed consent was obtained from the patient for being included in the study.

Consent section

Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Figures

Fig. 1
Fig. 1
EGC IIa lesion at the angle of the stomach that was diagnosed as signet ring cell carcinoma
Fig. 2
Fig. 2
Elevated lesion at the cecum that was diagnosed as a well-differentiated adenocarcinoma
Fig. 3
Fig. 3
I Port placement. Robotic gastrectomy. A camera port, B assistant port, C 1st robot arm port: Maryland Bipolar Forceps, D 2nd robot arm port: Harmonic Curved Shears, E 3rd robot arm port: Cadiere Forceps. Robotic colectomy: A camera port 1 3rd robot arm port: double fenestrated grasper, 2 1st robot arm port: hot shears, 3 suprapubic: 2nd robot arm port: Bipolar Grasper Forceps. II Abdominal surgical wound (POD 36 months)

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