Sumer, FatihKayaalp, CuneytKaragul, Servet2024-08-042024-08-0420162093-582X2093-5641https://doi.org/10.5230/jgc.2016.16.1.51https://hdl.handle.net/11616/97248Laparoscopic 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.eninfo:eu-repo/semantics/openAccessStomach neoplasmsNatural orifice endoscopic surgeryLaparoscopyObesityArticle16151532710402710.5230/jgc.2016.16.1.512-s2.0-84962339596Q2WOS:000378414500008N/A