Abstract:
Laparoscopic gastrectomy for cancer has some significant postoperative benefits over open surgery with similar oncologic outcomes. This
procedure is more popular in the Far East countries where obesity is not a serious public health problem. In the Western countries, laparoscopic
gastrectomy for cancer is not a common procedure, yet obesity is more common. Herein, we aimed to demonstrate the feasibility
of laparoscopic gastrectomy for advanced gastric cancer in a morbidly obese patient. Additionally, we used natural orifice specimen
extraction as an option to decrease wound-related complications, which are more prevalent in morbidly obese patients. In this case, we
performed a fully laparoscopic subtotal gastrectomy with lymph node dissection and Roux-en-Y gastrojejunostomy with the specimen extracted
through the vagina. To the best of our knowledge, this was the first report of a natural orifice surgery in a morbidly obese patient
with gastric cancer.
