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Laparoscopic surgery for synchronous gastric and colorectal cancer
Langenbeck's Archives of Surgery, 06/09/09

Tokunaga M et al. - In a study to assess the feasibility of simultaneous laparoscopic surgery for synchronous gastric and colorectal cancer (CRC), it was found that the laparoscopic approach is a feasible procedure for synchronous gastric and CRC, provided that the operation is performed by experienced surgeons.

• Early surgical outcomes, including operation time, intraoperative bleeding, postoperative morbidity, mortality, and duration of postoperative hospital stay, were investigated in 7 consecutive pts who underwent simultaneous laparoscopy-assisted gastrectomy and colorectal surgery to clarify the feasibility of simultaneous laparoscopic surgery.

• Mean operation time was 392 min and estimated blood loss was 90 mg in pts undergoing simultaneous laparoscopic surgery.
• Although postoperative morbidity was observed in 3 pts (surgical site infection, gastric fullness, and enteritis), they recovered well, and duration of postoperative hospital stay was 19.6 ± 14.1 days.
• There was no postoperative mortality.
• Intraoperative complication, which required conversion to open surgery, was not found in any pts.
• A small incision measuring 5–6 cm in length was sufficient for both retrieval of resected specimen and enteric anastomosis in all pts.

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