Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Sang-Ho Jeong Young-Joon Lee Won Jun Choi Won Young Paik Chi-Young Jeong Soon-Tae Park Sang-Kyung Choi Soon-Chan Hong Eun-Jung Jung Yo
- چاپ و سال / کشور: 2011
Description
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 ? b 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.
Gastric Cancer (2011) 14:91–96 DOI 10.1007/s10120-011-0006-8 Received: 31 July 2010 / Accepted: 21 September 2010 / Published online: 25 January 2011
