Although simultaneous open surgery for synchronous gastric and
colon cancer has been reported frequently to date, total laparoscopic resection has been documented rarely. A 63-year-old male patient who presented with complaints of
abdominal pain and
constipation was diagnosed with synchronous gastric and
sigmoid colon cancer. Simultaneous total laparoscopic distal
gastrectomy (
Roux-en-Y anastomosis and D2
lymph node dissection) and anterior resection were performed with a total of five ports. Total operation time was 310 min. and estimated blood loss was 175 mL. Histopathological examination result was reported as well-differentiated
adenocarcinoma for the stomach and moderately differentiated
adenocarcinoma for the colon. Staging result was Stage IIA (pT3N0M0, American Joint Committee on
Cancer (AJCC) 8th Edition) for both
cancers. The patient received postoperative
adjuvant chemotherapy. He remains under follow-up at 21 months without any recurrence. With the improved techniques and increased experience in
minimally invasive surgery, combined laparoscopic curative resection can be safely performed for gastric and
colon cancer.