Laparoscopic total gastrectomy, D2 lymphadenectomy, en bloc distal pancreatectomy, splenectomy and high anterior resection

Enming Yong, Jaideepraj Rao, Sau Shung Fong. Tan Tock Seng Hospital

We present an interesting case where a 78 year-old Indian gentleman presented with both gastric and sigmoid colon primaries. Pre-operative histology revealed adenocarcinoma for both.

He underwent laparoscopic total gastrectomy, D2 lymphadenectomy, en bloc distal pancreatectomy, splenectomy and high anterior resection. Intra-operatively, the gastric tumour was noted to be invading posteriorly necessitating the distal pancreactectomy and splenectomy. Operative duration was 7 hours and 45 minutes.

He was discharged well 2 weeks after the operation. This demonstrates that laparoscopic resection for synchronous gastric and colon tumours is both feasible and safe.

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