Simultaneous Laparoscopy-Assisted Resection for Synchronous Colorectal and Gastric Cancer.
10.7180/kmj.2015.30.2.115
- Author:
Seung Hyun LEE
1
;
Byung Kwon AHN
;
Sung Uhn BAEK
Author Information
1. Department of Surgery, College of Medicine, Kosin University, Busan, Korea. gsabk@hotmail.com
- Publication Type:Original Article
- Keywords:
Colorectal cancer;
Gastric cancer;
Laparoscopic surgery;
Synchronous
- MeSH:
Bile;
Body Mass Index;
Colorectal Neoplasms;
Gastrectomy;
Gastroenterostomy;
Hemorrhage;
Humans;
Ileus;
Laparoscopy;
Length of Stay;
Medical Records;
Pneumonia;
Postoperative Complications;
Retrospective Studies;
Seroma;
Stomach Neoplasms*;
Wounds and Injuries
- From:Kosin Medical Journal
2015;30(2):115-121
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: The purpose of this study is to evaluate feasibility and safety of simultaneous laparoscopy-assisted resection for synchronous colorectal and gastric cancer. METHODS: From January 2001 to December 2013, a total of 29 patients underwent simultaneous resection for synchronous colorectal and gastric cancers. Medical records were reviewed, retrospectively. RESULTS: Eight patients (5 male) underwent laparoscopy-assisted resection (LAP group) and twenty one patients (17 male) underwent open surgery (Open group). In the both group, the mean age (65.2 vs. 63.7 years, p =0.481), body mass index (22.6 vs. 22.3, p = 0.896) was comparable, respectively. In LAP group, laparoscopy-assisted distal gastrectomy was performed for all eight patients. In Open group, subtotal gastrectomy with billroth I gastroduodenostomy was most common procedure (66.7%). The operation time, blood loss volume was similar between the two groups. Gas out was earlier (3.0 vs. 4.6 days p = 0.106), postoperative hospital stay was shorter (12.0 vs. 18.3 days, p = 0.245) in LAP group. The postoperative complications were an ileus, a wound seroma and a bile leakage in LAP group, pneumonia (10.0%), wound bleeding (5.0%) and leakage (5.0%) in Open group. CONCLUSIONS: The simultaneous laparoscopy-assisted resection for synchronous colorectal cancer and gastric cancer is a feasible and safe procedure.
