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

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dc.authoridKaragul, Servet/0000-0003-1964-2516
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidKaragul, Servet/K-3020-2015
dc.authorwosidSumer, Fatih/F-8042-2017
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorErtugrul, Ismail
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorKaragul, Servet
dc.date.accessioned2024-08-04T20:41:13Z
dc.date.available2024-08-04T20:41:13Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPURPOSE: 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.en_US
dc.identifier.doi10.1016/j.ijscr.2015.08.043
dc.identifier.endpage58en_US
dc.identifier.issn2210-2612
dc.identifier.pmid26413924en_US
dc.identifier.scopus2-s2.0-84942424571en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage56en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijscr.2015.08.043
dc.identifier.urihttps://hdl.handle.net/11616/96988
dc.identifier.volume16en_US
dc.identifier.wosWOS:000367381600014en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInternational Journal of Surgery Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGastric canceren_US
dc.subjectNatural orifice surgeryen_US
dc.subjectLaparoscopic gastrectomyen_US
dc.subjectTransvaginalen_US
dc.subjectNatural orifice transluminal endoscopic surgeryen_US
dc.titleTotal laparoscopic subtotal gastrectomy with transvaginal specimen extraction is feasible in advanced gastric canceren_US
dc.typeArticleen_US

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