Simultaneous laparoscopic distal gastrectomy (uncut Roux-en-Y anastomosis), right hemi-colectomy and radical rectectomy (Dixon) in a synchronous triple primary stomach, colon and rectal cancers patient.

Abstract

Gastric and colorectal cancers are both one of the most common tumors worldwide, while the morbidity of multiple synchronous primary tumors are really rare, and triple synchronous primary cancers are considered has a lower incidence. In this report, we demonstrate a rare case of synchronous triple primary cancers involving gastric, colon and rectal, and the laparoscopic operation procedure of the patient. A 49-year-old male diagnosed with synchronous triple primary gastric, colon and rectal cancer, underwent simultaneous laparoscopic distal gastrectomy (uncut Roux-en-Y anastomosis, D2), right hemi-colectomy and radical rectectomy (Dixon). The operation lasts 305 min with about 300 mL blood lost. The patient discharged from hospital on the 12th day without any complication. Laparoscopic surgery is a safe and feasible way in synchronous gastrointestinal triple primary cancers. Nevertheless, because of the rare incidence, many details and specific condition should be considered during the peri-operative period of this multiple synchronous cancers patient.