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Total laparoscopic subtotal gastrectomy with transvaginal specimen extraction is feasible in advanced gastric cancer

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dc.contributor.author Sümer, Fatih
dc.contributor.author Kayaalp, Cüneyt
dc.contributor.author Ertuğrul, Ismail
dc.contributor.author Yağci, Mehmet Ali
dc.contributor.author Karagül, Servet
dc.date.accessioned 2020-07-02T09:53:58Z
dc.date.available 2020-07-02T09:53:58Z
dc.date.issued 2015
dc.identifier.citation Sumer, F., Kayaalp, C., Ertugrul, I., Yagci, M.A., Karagul, S. Total laparoscopic subtotal gastrectomy with transvaginal specimen extraction is feasible in advanced gastric cancer. (2015). INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS. tr_TR
dc.identifier.issn 2210-2612
dc.identifier.other DOI: 10.1016/j.ijscr.2015.08.043
dc.identifier.uri http://localhost:8080/xmlui/handle/123456789/16325
dc.description INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS Volume: 16 Pages: 56-58 tr_TR
dc.description.abstract PURPOSE: Natural orifice specimen extraction (NOSE) is an ever-evolving advanced laparoscopic technique. NOSE minimizes surgical injury, involving a low risk of wound complications, fewer incisional hernias, faster recovery and less postoperative pain. Laparoscopic gastrectomy combined with NOSE is a procedure that can potentiate the advantages of both minimal invasive techniques. We aim to demonstrate the feasibility of laparoscopic subtotal gastrectomy with transvaginal specimen extraction in advanced gastric cancer. CASE: A 72-year-old woman with a 2 cm adenocarcinoma in gastric antrum was treated by laparoscopic subtotal gastrectomy and lymph node dissection. A totally laparoscopic Roux-en-Y gastrojejunostomy was constructed. Specimen was extracted through the posterior fornix of vagina without difficulty. Histopathology confirmed pT3pN0 tumor. After a 10-month follow-up the patient was asymptomatic and getting adjuvant chemoradiotherapy. CONCLUSIONS: Transvaginal specimen extraction after laparoscopic gastric resection for advanced gastric cancer is a feasible procedure. It is offered to selected patients and of course only to female patients. Natural orifice surgery may provide faster recovery and decrease the wound related complications which may cause a delay on postoperative adjuvant chemo-radio therapies. We have presented, as far as we know, the first human case of a transvaginal extraction of an advanced gastric cancer after laparoscopic gastrectomy. (C) 2015 The Authors. Published by Elsevier Ltd. tr_TR
dc.language.iso en tr_TR
dc.publisher ELSEVIER SCI LTD tr_TR
dc.subject Laparoscopic gastrectomy tr_TR
dc.subject Transvaginal tr_TR
dc.subject Natural orifice surgery tr_TR
dc.subject Gastric cancer tr_TR
dc.subject Natural orifice transluminal endoscopic surgery tr_TR
dc.title Total laparoscopic subtotal gastrectomy with transvaginal specimen extraction is feasible in advanced gastric cancer tr_TR
dc.type Article tr_TR


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