J Gastric Cancer.  2014 Sep;14(3):211-214. 10.5230/jgc.2014.14.3.211.

Concurrent Robot-Assisted Distal Gastrectomy and Partial Nephrectomy for Synchronous Early Gastric Cancer and Renal Cell Carcinoma: An Initial Experience

• Kim J
• Kim SM
• Seo JE
• Choi MG
• Lee JH
• Sohn TS
• Kim S
• Bae JM
• Seo SI

• KMID: 2372534
• DOI: http://doi.org/10.5230/jgc.2014.14.3.211

Abstract

We report our experience of a concurrent robot assisted distal gastrectomy and partial nephrectomy for synchronous early gastric cancer and renal cell carcinoma. A 55-year-old female patient was diagnosed with early gastric cancer on screening endoscopy. Abdominal computed tomography showed an incidental right renal cell carcinoma. Robot assisted distal gastrectomy was performed, followed by partial nephrectomy. The final pathological examination showed signet ring cell carcinoma within the lamina propria and renal cell carcinoma with negative resection margins. The patient showed no evidence of recurrence at 6-months. A robot-assisted combined operation could be a treatment option for early stages of synchronous malignancies.

Keyword

Robotics; Gastrectomy; Nephrectomy; Stomach neoplasms; Surgical procedures, minimally invasive

MeSH Terms

Carcinoma, Renal Cell*
Carcinoma, Signet Ring Cell
Endoscopy
Female
Gastrectomy*
Humans
Mass Screening
Middle Aged
Mucous Membrane
Nephrectomy*
Recurrence
Robotics
Stomach Neoplasms*
Surgical Procedures, Minimally Invasive

Figure

• 

  Fig. 1 Computed tomography showing a 3.6 cm sized enhancing mass lesion in the lower pole of the right kidney.

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  Fig. 2 Port placement for robotic gastrectomy (G) and partial nephrectomy (N).

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  Fig. 3 Operating field with the da Vinci robotic system. (A) Ligating the left gastric artery during distal gastrectomy. (B) Intracorporeal renal parenchyma suturing after partial nephrectomy.

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  Fig. 4 Photographs of gross specimens. (A) Stomach. (B) Renal mass.

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