Case Report
 
One-stage laparoscopic surgery for left renal cell carcinoma and cecal cancer
Satoshi Tokuda1, Hajime Orita1, Hiroshi Maekawa1, Kentaro Imaizumi2, Kazuhiko Fujita2, Koichi Sato1
1Department of Surgery, Juntendo Shizuoka Hospital, Shizuoka, Japan
2Department of Urology, Juntendo Shizuoka Hospital, Shizuoka, Japan

Article ID: 100908Z01ST2018
doi: 10.5348/100908Z01ST2018CR

Corresponding Author:
Hajime Orita, MD,
Department of Surgery, Juntendo Shizuoka Hospital,
Shizuoka, Japan, Nagaoka 1129,
Izunokuni-shi, Shizuoka-ken, Japan 410-2295

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How to cite this article
Tokuda S, Orita H, Maekawa H, Imaizumi K, Fujita K, Sato K. One-stage laparoscopic surgery for left renal cell carcinoma and cecal cancer. Int J Case Rep Images 2018;9:100908Z01ST2018.


ABSTRACT

Introduction: Laparoscopic surgery has been utilized in the fields of gastroenterology, urology and gynecology for the last decade. Colorectal cancer and renal cell carcinoma are becoming more common, and syncronous cases are possible. Laparoscopic surgery for colon cancer and renal cell carcinoma are stylized operations, while the concurrent operation by laparoscopy is rare. In this report, we describe a case of simultaneous laparoscopic surgery for a left renal cell carcinoma and cecal cancer. In this operation, we created new locations for the trocars.

Case Report: An 83-year-old man was diagnosed with cecal and left renal cell carcinomas. He was of an advanced age, therefore one-stage surgery with laparoscopy by urologists was chosen by paying attention to the position of the trocars. The total number of trocars was 7, and the total combined wound length was 12 cm. The operation time was 9 hours 20 minutes. Nevertheless, blood loss was minimal (30 ml), and the postoperative course was uneventful. He was discharged on the 12th hospital day.

Conclusion: We experienced concurrent cancer cases and performed the simultaneous operation safely. Simultaneous laparoscopic surgery for renal cell carcinoma and cecal cancers is feasible and safe in elderly patients.

Keywords: Cecal cancer, Laparoscopic surgery, Renal cell carcinoma


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Author Contributions
Satoshi Tokuda – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hajime Orita – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Hiroshi Maekawa – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kentaro Imaizumi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kazuhiko Fujita – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Koichi Sato – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Satoshi Tokuda et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.