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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 - J Gastric Cancer (2014)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

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.

No MeSH data available.


Related in: MedlinePlus

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

Mentions: The total operation time was 670 minutes (distal gastrectomy, 400 minutes; partial nephrectomy, 270 minutes). The total console time was 370 minutes (distal gastrectomy, 260 minutes; partial nephrectomy, 110 minutes). Estimated blood loss was 300 ml (distal gastrectomy, 100 ml; partial nephrectomy, 200 ml). On postoperative day 5, the patient had a high spiking fever of 39.5℃. A gastrografin upper gastrointestinal series showed no evidence of anastomosis leakage. Abdominal computed tomography showed a complicated fluid collection around the partial nephrectomy site. Intravenous antibiotics were administered and follow-up abdominal computed tomography was performed on postoperative day 13. Computed tomography showed decreased fluid collection around the partial nephrectomy site. The patient was discharged on postoperative day 17. Final pathological examination from the distal gastrectomy showed a 1.6×0.7 cm sized signet ring cell carcinoma, localized within the lamina propria. No metastasis was observed in any of 44 retrieved lymph nodes. The final stage was pT1aN0, stage 1A according to the American Joint Committee on Cancer 7th Edition. Final pathological examination of the partial nephrectomy showed a 3×3 cm sized renal cell carcinoma clear cell type, Fuhrman's nuclear grade II/IV with negative resection margins (Fig. 4). The pathologic stage was T1a. The patient had no evidence of late complications or recurrence at 6 month.


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 - J Gastric Cancer (2014)

Photographs of gross specimens. (A) Stomach. (B) Renal mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199890&req=5

Figure 4: Photographs of gross specimens. (A) Stomach. (B) Renal mass.
Mentions: The total operation time was 670 minutes (distal gastrectomy, 400 minutes; partial nephrectomy, 270 minutes). The total console time was 370 minutes (distal gastrectomy, 260 minutes; partial nephrectomy, 110 minutes). Estimated blood loss was 300 ml (distal gastrectomy, 100 ml; partial nephrectomy, 200 ml). On postoperative day 5, the patient had a high spiking fever of 39.5℃. A gastrografin upper gastrointestinal series showed no evidence of anastomosis leakage. Abdominal computed tomography showed a complicated fluid collection around the partial nephrectomy site. Intravenous antibiotics were administered and follow-up abdominal computed tomography was performed on postoperative day 13. Computed tomography showed decreased fluid collection around the partial nephrectomy site. The patient was discharged on postoperative day 17. Final pathological examination from the distal gastrectomy showed a 1.6×0.7 cm sized signet ring cell carcinoma, localized within the lamina propria. No metastasis was observed in any of 44 retrieved lymph nodes. The final stage was pT1aN0, stage 1A according to the American Joint Committee on Cancer 7th Edition. Final pathological examination of the partial nephrectomy showed a 3×3 cm sized renal cell carcinoma clear cell type, Fuhrman's nuclear grade II/IV with negative resection margins (Fig. 4). The pathologic stage was T1a. The patient had no evidence of late complications or recurrence at 6 month.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

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.

No MeSH data available.


Related in: MedlinePlus