Transvaginal Specimen Extraction After Laparoscopic Gastrectomy for Tumors

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dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridOkut, Gokalp/0000-0002-3641-5625
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidOkut, Gokalp/GRE-9040-2022
dc.authorwosidGundogan, Ersin/AFE-0184-2022
dc.contributor.authorSumer, Fatih
dc.contributor.authorGundogan, Ersin
dc.contributor.authorKaplan, Kuntay
dc.contributor.authorOkut, Gokalp
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:51:35Z
dc.date.available2024-08-04T20:51:35Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: The aim was to evaluate the feasibility of transvaginal specimen extraction after laparoscopic gastrectomy for tumors. Method: Inclusion criteria were females not planning to deliver a child and an accessible vaginal entry. Exclusion criteria were benign gastric pathologies and emergency cases. Results: There were 24 females with a mean age of 54.5 +/- 12.0. Subtotal, total, central, and vertical gastrectomies were implemented in 17, 4, 2, and 1 patients, respectively. There was no conversion to open or conventional laparoscopic surgery. Specimens were removed from the vagina in all cases successfully. Histopathologies were adenocarcinoma in 20, gastrointestinal stromal in 3, neuroendocrine tumors in 2 and high-grade dysplasia in the rest. Mean blood loss and duration of surgery were 122.5 +/- 163.4 (range: 10 to 800) ml. and 287.7 +/- 95.9 (range: 120 to 440) minutes, respectively. No patient required intraoperative blood transfusions. The median length of hospital stay was 7 days (range: 3 to 22). The mean tumor size was 7.8 +/- 6.5 (range: 0.5 to 24) cm. Fourteen of 24 cases were advanced gastric cancers. Mean dissected lymph node numbers in the patients with radical gastrectomy was 35.3 +/- 12.9 (range: 18 to 62). There were no early or late complications related to the specimen extraction and no wound-related problems were observed. Conclusions: In the selected cases, transvaginal specimen extraction was feasible after laparoscopic gastric resections in patients with stomach tumors. As far as we know, this was the largest study on the transvaginal extraction of gastric tumors.en_US
dc.identifier.doi10.1097/SLE.0000000000001031
dc.identifier.endpage251en_US
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue2en_US
dc.identifier.pmid34966150en_US
dc.identifier.scopus2-s2.0-85122793568en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage247en_US
dc.identifier.urihttps://doi.org/10.1097/SLE.0000000000001031
dc.identifier.urihttps://hdl.handle.net/11616/100410
dc.identifier.volume32en_US
dc.identifier.wosWOS:000776295700017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectgastric canceren_US
dc.subjectnatural orifice surgeryen_US
dc.subjectlaparoscopyen_US
dc.subjectminimal invasive surgeryen_US
dc.subjectgastrointestinal stromal tumoren_US
dc.subjectneuroendocrine tumoren_US
dc.titleTransvaginal Specimen Extraction After Laparoscopic Gastrectomy for Tumorsen_US
dc.typeArticleen_US

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