A Case Report of Laparoscopic Resection for Gastric Cancer and Colon Cancer with Myotonic Dystrophy

Abstract

Screening CT for a 44-year-old man who had been treated for myotonic dystrophy (MD) revealed abnormal wall thickening in the stomach and ascending colon. Upper gastrointestinal endoscopy revealed a type 0—IIc early gastric cancer in the anterior wall of the lesser curvature of the stomach. Colonoscopy revealed a type 1 colon cancer in the ascending colon. We performed laparoscopic distal gastrectomy and laparoscopic right colectomy at the same time. Anesthesia was maintained with total intravenous anesthesia. Postoperatively, no complications were identified, and he was discharged on postoperative day 10. We present a rare case of a patient with MD who was successfully treated with one-stage laparoscopic resection for gastric cancer and colon cancer.