中文摘要：

目的探讨腹腔镜手术治疗多原发恶性肿瘤的可行性、临床效果及预后。方法对2011年6月我院收治的1例同时性多原发恶性肿瘤（胃腺癌、直肠腺癌）的临床资料、手术方法及随访资料进行分析,并复习相关文献。结果患者在全麻下接受腹腔镜辅助下直肠癌前切除术＋手辅助腹腔镜下远端胃癌根治术,手术用时约3.5h,术中出血约50ml,患者术后第4天恢复胃肠道功能,第9天进固体食物,第13天痊愈出院,未出现手术并发症。结论腹腔镜下同时进行多部位原发肿瘤根治手术技术可行。

英文摘要：

Objective To study the feasibility, effect and prognosis of laparoscopy-assisted surgery for multiple primary malignant neoplasms. Methods Clinical data, surgical procedures and follow-up data about 1 patient with multiple primary malignant neoplasms including gastric adenocarcinoma and rectal adenocarcinoma admitted to our hospital in June 2011 were retrospectively analyzed with the related literature reviewed. Results The patient underwent laparoscopy-assisted low anterior resection and hand- assisted laparoscopic distal gastrectomy under general anesthesia. The operation time was 3.5h and the blood loss was about 50ml. The gastrointestinal function of the patient was recovered on postoperative day 4 with solid diet resumed on postoperative day 9. The patient was discharged on postoperative day 13 with no complications. Conclusion Laparoscopy-assisted surgery is a technically feasible procedure for multiple primary malignant neoplasms.