BMJ Case Reports 2015; doi:10.1136/bcr-2015-211681

Combined laparoscopic-assisted nephrectomy and complete mesocolic excision for synchronous renal and colon cancers

  1. J C Coffey1,3
  1. 1Department of Surgery, University Hospital Limerick, Limerick, Ireland
  2. 2Department of Urology, University Hospital Limerick, Limerick, Ireland
  3. 3Department of Centre for Interventions in Infection, Inflammation and Immunity, Graduate Entry Medical School, University of Limerick, Limerick, Ireland
  1. Correspondence to Dr M O'Sullivan, osullimu{at}
  • Accepted 5 September 2015
  • Published 29 September 2015


Cancers of the colon and kidney are common malignancies, however, the occurrence of primary synchronous neoplasms of these two organs is uncommon. To the best of our knowledge, this is the first case report of a laparoscopic radical left nephrectomy and extended right complete mesocolic excision (CME) for a patient with synchronous renal and colon cancers. While a radical nephrectomy has long been the standard of care for a renal malignancy, CME has only recently been used. Combined surgeries provide the patient with various benefits such as decreased hospital stay, less postoperative pain and morbidity, early return to work and better cosmoses.

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