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- Title
Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer.
- Authors
Sang-Ho Jeong; Young-Joon Lee; Choi, Won J.; Paik, Won Y.; Chi-Young Jeong; Soon-Tae Park; Sang-Kyung Choi; Soon-Chan Hong; Eun-Jung Jung; Young-tae Joo; Woo-Song Ha
- 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.
- Subjects
CANCER patients; STOMACH surgery; LYMPH nodes; GASTRECTOMY; SURGICAL complications
- Publication
Gastric Cancer, 2011, Vol 14, Issue 1, p91
- ISSN
1436-3291
- Publication type
Article
- DOI
10.1007/s10120-011-0006-8