Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer.
BACKGROUND
Although natural orifice extraction is now widely performed, there have been no reports of this procedure following subtotal gastrectomy for gastric cancer. This report describes trans-vaginal specimen extraction in four patients with early gastric cancer.


METHODS
The clinical data of four patients with early gastric cancer were reviewed. Totally laparoscopic subtotal gastrectomy and D1 + β lymph node dissection was performed using five trocars and a conventional procedure. Posterior colpotomy was performed by an experienced gynecologist, who retrieved the specimens in a retrieval bag via the trans-vaginal route. The colpotomy site was repaired immediately following specimen removal. Reconstruction was performed using the intracorporeal Billroth II method and an endo-GIA 60.


RESULTS
Totally laparoscopic subtotal gastrectomy and trans-vaginal specimen extraction was successfully accomplished in all patients without intraoperative complications.


CONCLUSIONS
The present technique may be a safe and feasible operative procedure for some limited groups of elderly female patients with early gastric cancer.
Department of Surgery, Gyeongsang National University Hospital, Jinju, Gyeongsang South Province, 660-702, South Korea.
Sang-Ho
SH
Jeong
Young-Joon
YJ
Lee
Won Jun
WJ
Choi
Won Young
WY
Paik
Chi-Young
CY
Jeong
Soon-Tae
ST
Park
Sang-Kyung
SK
Choi
Soon-Chan
SC
Hong
Eun-Jung
EJ
Jung
Young-Tae
YT
Joo
Woo-Song
WS
Ha
D000368:Aged; D055088:Early Detection of Cancer; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications; D013048:Specimen Handling; D013274:Stomach Neoplasms / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
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