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Gastric Cancer. 2011 Mar;14(1):91-6. doi: 10.1007/s10120-011-0006-8. Epub 2011 Jan 25.

Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer.

Author information

1
Department of Surgery, Gyeongsang National University Hospital, Jinju, Gyeongsang South Province, 660-702, South Korea.

Abstract

BACKGROUND:

Although natural orifice extraction is now widely performed, there have been no reports of this procedure following subtotal gastrectomy for gastric cancer. This report describes trans-vaginal specimen extraction in four patients with early gastric cancer.

METHODS:

The clinical data of four patients with early gastric cancer were reviewed. Totally laparoscopic subtotal gastrectomy and D1 + β lymph node dissection was performed using five trocars and a conventional procedure. Posterior colpotomy was performed by an experienced gynecologist, who retrieved the specimens in a retrieval bag via the trans-vaginal route. The colpotomy site was repaired immediately following specimen removal. Reconstruction was performed using the intracorporeal Billroth II method and an endo-GIA 60.

RESULTS:

Totally laparoscopic subtotal gastrectomy and trans-vaginal specimen extraction was successfully accomplished in all patients without intraoperative complications.

CONCLUSIONS:

The present technique may be a safe and feasible operative procedure for some limited groups of elderly female patients with early gastric cancer.

PMID:
21264485
DOI:
10.1007/s10120-011-0006-8
[Indexed for MEDLINE]

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