Synchronous robotic right hemicolectomy and subtotal gastrectomy.

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Approximately 4% of patients diagnosed with stomach cancer also have synchronous colorectal cancer.
• Some patients require simultaneous surgical removal of both malignancies.
• Few minimally invasive techniques for synchronous resections have been documented.

Observation:

• This study explored the feasibility and safety of synchronous robotic resection for right colon and stomach malignancies.
• A standardized and reproducible surgical technique was investigated.
• Careful operative planning and trocar placement are crucial to minimize robotic system repositioning and ensure comfortable operating conditions.

Findings:

• The described synchronous robotic resection approach is safe and effective.
• It achieves minimal invasiveness while maintaining oncological radicality.
• Robotic surgery offers enhanced visualization, precise dissection, and extended instrument reach for complex procedures.

Implications:

• This technique provides patients with the benefits of minimally invasive surgery for combined gastrointestinal malignancies.
• Robotic assistance is particularly advantageous in complex multi-organ resections.
• Further adoption of robotic surgery can improve outcomes for patients requiring simultaneous resections of stomach and colon cancers.