Double primary tumor of the stomach and the prostate managed robotically simultaneously

Area of Science:

• Oncology
• Surgical Robotics
• Gastroenterology
• Urology

Background:

• Multiple primary tumors are uncommon, posing unique clinical challenges.
• Synchronous malignancies require careful diagnostic and therapeutic planning.
• The patient had a history of cardiac conditions, adding complexity to surgical management.

Purpose of the Study:

• To present a rare case of synchronous gastric and prostate adenocarcinoma.
• To evaluate the feasibility and outcomes of simultaneous robot-assisted surgical management.
• To highlight the benefits of robotic surgery in complex oncologic cases.

Main Methods:

• A 65-year-old male with synchronous gastric and prostate adenocarcinoma underwent simultaneous surgery.
• Robot-assisted laparoscopy was employed for both procedures.
• Procedures included subtotal gastrectomy with gastro-jejunostomy and nerve-sparing radical prostatectomy.

Main Results:

• Both robotic procedures were performed successfully without complications.
• The patient experienced an uneventful postoperative course.
• Excellent operative and oncologic outcomes were achieved, with the patient cancer-free at one-year follow-up.

Conclusions:

• Robot-assisted laparoscopy is a viable and effective approach for simultaneous management of synchronous gastric and prostate cancers.
• The robotic platform facilitated excellent oncologic and functional outcomes in this complex case.
• This case underscores the potential of minimally invasive robotic surgery in treating multiple primary malignancies concurrently.