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.