PMC6409421_01
Preoperative image findings.. (a) Gastroscopy revealed a type 3 tumor on the greater curvature of the stomach.. (b) Prostate cancer was suspected to spread out of the capsule by contrast-enhanced CT.
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Gastroscopy revealed a type 3 tumor on the greater curvature of the stomach (Fig. 1a). Based on CT scan and MRI findings, local progression of PCa was observed (Fig. 1b).
Port arrangement (: 12 mm trocar,  : 8 mm trocar,  : 5 mm trocar).. Surgeons inserted additional two 5 mm trocars on left and right upper abdomen.
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PMC6409421_01_gr2.jpg
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The port arrangement is depicted in Fig. 2.
Pathological findings are shown. Each cancer was pathologically diagnosed as separate adenocarcinoma.. (a) Gastric cancer;. Adenocarcinoma, U, Gre, type 2, 40 mm x 40 mm, tub2 > por2, pT3(SS), sci, INFc, ly3, v3, pN3a, pPM0, pDM0.. (b) Prostate cancer;. Adenocarcinoma, Gleason score 4 + 4 = 8 with tertiary pattern 5, pT3a, ly0, v0, pn1, sv0.
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The pathological diagnoses were T3N3aM0 gastric adenocarcinoma and T3aN0M0 prostatic adenocarcinoma (Fig. 3).