Yang Li, Zhang Diancai, Li Fengyuan, Ma Xiang
Department of Gastric Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
J Vis Surg. 2016 May 25;2:101. doi: 10.21037/jovs.2016.05.04. eCollection 2016.
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 12 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.
胃癌和结直肠癌均为全球最常见的肿瘤之一，而多发同步原发性肿瘤的发病率极低，三重同步原发性癌症的发病率更低。在本报告中，我们展示了一例罕见的胃、结肠和直肠同步三重原发性癌症病例以及该患者的腹腔镜手术过程。
一名49岁男性被诊断为同步三重原发性胃、结肠和直肠癌，接受了同期腹腔镜远端胃切除术（非离断式 Roux-en-Y 吻合术，D2）、右半结肠切除术和根治性直肠切除术（Dixon术）。
手术持续305分钟，失血约300毫升。患者于术后第12天出院，无任何并发症。
腹腔镜手术是治疗同步胃肠道三重原发性癌症的一种安全可行的方法。然而，由于发病率极低，在这类多发同步癌症患者的围手术期应考虑许多细节和特殊情况。
