title: Robotic gastrectomy with transvaginal specimen extraction for female gastric cancer patients.
abstract: OBJECTIVE
  To describe the application of complete robotic gastrectomy with transvaginal specimen extraction (TVSE) for gastric cancer patients.
  
  
  METHODS
  Between July and November 2014, eight female patients who were diagnosed with gastric adenocarcinoma underwent a TVSE following a full robot-sewn gastrectomy. According to the tumor location, the patients were allocated to two different groups; two patients received robotic total gastrectomy with TVSE and the other six received robotic distal gastrectomy with TVSE.
  
  
  RESULTS
  Surgical procedures were successfully performed in all eight cases without conversion. The mean age was 55.3 (range, 42-69) years, and the mean body mass index was 23.2 (range, 21.6-26.0) kg/m(2). The mean total operative time and blood loss were 224 (range, 200-298) min and 62.5 (range, 50-150) mL, respectively. The mean postoperative hospital stay was 3.6 (range, 3-5) d. The mean number of lymph nodes resected was 23.6 (range, 17-27). None was readmitted within 30 d of postoperation. During the follow-up, no stricture developed nor was any anastomotic leakage detected.
  
  
  CONCLUSIONS
  It is possible to perform a TVSE following a full robot-sewn gastrectomy with standard D2 lymph node resection for female gastric cancer patients.
authors.affiliation: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors.forename: Shu
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors.forename: Zhi-Wei
authors.initials: ZW
authors.lastname: Jiang
authors.affiliation: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Wang
authors.affiliation: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors.forename: Xiao-Bo
authors.initials: XB
authors.lastname: Feng
authors.affiliation: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Liu
authors.affiliation: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Zhao
authors.affiliation: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China.
authors.forename: Jie-Shou
authors.initials: JS
authors.lastname: Li
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000009:adverse effects / Q000379:methods*; D061646:Operative Time; D065287:Robotic Surgical Procedures / Q000009:adverse effects; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina
keywords: Gastric cancer; Natural orifice specimen extraction; Robotic surgery; Transvaginal