Intracorporeal anastomosis in synchronous robotic right hemicolectomy and radical distal gastrectomy: Case report and technical discussion

To evaluate the feasibility and effectiveness of fully robotic-assisted synchronous resection for gastric and ascending colon malignancies. An 83-year-old patient underwent robotic-assisted radical distal gastrectomy with Roux-en-Y gastrojejunostomy and right hemicolectomy using the Da Vinci Xi system with intracorporeal anastomosis. The patient had a rapid postoperative recovery with early mobilization, flatus on postoperative day two, resumed full enteral nutrition on day five, and discharged on day eight without complications. Fully robotic surgery provided precise dissection, effective reconstruction, and minimal trauma, demonstrating safety and efficacy in elderly patients with synchronous gastrointestinal malignancies.