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

Sümer, Fatih; Kayaalp, Cüneyt; Ertuğrul, İlker; Yağcı, Mehmet Ali; Karagül, Servet

doi:10.1016/j.ijscr.2015.08.043

Cited by 17 publications

(14 citation statements)

References 20 publications

(21 reference statements)

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“…[7][8][9] Besides this present case colon specimen from right hemicolectomy, gastric specimen from subtotal gastrectomy, liver specimen from liver resection and partial pancreas specimen from distal pancreatectomy are reported to be obtained from vaginal wall incision during NOSE. [10][11][12][13] Luyao Zhang et al have successfully performed laparoscopic pancreaticoduodenectomy through transvaginal NOSE method. [14] Although advantages of laparoscopic transvaginal NOSE are well recognize, some risks and complications have been observed and drawn attention by surgeons recently.…”

Section: Discussionmentioning

confidence: 99%

An Overwhelming Infection After Laparoscopic Transvaginal Natural Orifice Specimen Extraction Procedure for Right Hemi-colonic Radical Resection: A Case Report and Literature Review

Shi¹,

Li²,

Wang³

et al. 2021

Preprint

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BACKGROUNDLaparoscopic transvaginal natural orifice specimen extraction (NOSE) procedure, as one of sub-surgical procedure selections of NOSE, has been well discussed recently. Although most studies argued receiving better post-surgical outcomes than laparoscopic right hemi-colonic radical resection, disadvantages of laparoscopic transvaginal NOSE have seldom been reported. Herein, we reported a case with an overwhelming infection after laparoscopic transvaginal NOSE, even leading a sudden cardiac arrest, and also performed a review of the literature of NOSE, in hopes of expending experience with NOSE for every general surgeon.CASE PRESENTATIONA 78-year-old female patient was diagnosis with ascending colon carcinoma (cT3N0M0). After pre-surgical preparation, a laparoscopic transvaginal NOSE was performed. At the 1st day post-surgery, a septic shock was manifested, with an acute cardiac failure. An intensive care unit therapy was given immediately, including anti-inflammatory therapy, anti-shock therapy, cardiac functional supporting therapy. At the 2nd day post-surgery, there was a sudden cardiac arrest. A cardiac emergency treatment was immediately given to her, following a comprehensive therapy. After a supporting treatment, this patient was discharged from our department at 12 days post-surgically, with a normal manifestation of blood pressure level, breath rate, heart rate, body temperature, white blood cell count, et al. However, a complaint of intermittent precordial pain still existed when discharging from our department. She was transferred to cardiovascular medicine department for a further treatment on cardiac function then. After another 18 days treatment, she left from hospital.CONCLUSIONSConsidering many clinical trials on NOSE with positive clinical outcomes, NOSE was recommended to an optional surgical treatment for gastrointestinal carcinoma. However, this case report reminders general surgeons that post-surgical complications to NOSE, some are even fatal, still has possibility to come out. A thorough evaluation pre-operationally and an appropriate therapy post-operationally are crucial and inevitable.

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Section: Discussionmentioning

confidence: 99%

An Overwhelming Infection After Laparoscopic Transvaginal Natural Orifice Specimen Extraction Procedure for Right Hemi-colonic Radical Resection: A Case Report and Literature Review

Shi¹,

Li²,

Wang³

et al. 2021

Preprint

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“… 3 It was previously demonstrated that laparoscopic gastrectomy combined with NOSE for advanced gastric cancer may provide a smooth postoperative course without any wound-related complications. 4 Additionally, we systematically reviewed 90 cases of laparoscopic right colon resections with transvaginal extractions and found no woundrelated complications. 5 Our preliminary observations pointed out that natural orifice surgery may decrease the risk of abdominal wound-related complications.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the risk of thromboembolism may also be reduced if the recovery period of the patients can be further shortened with smaller wounds and fewer wound complications. 4 5 Lastly, decreasing the postoperative woundrelated complications can offer earlier initiation of the postoperative chemo-radiotherapy, or, at least, it may avoid any delay for adjuvant therapies due to wound-related complications. 4 5 …”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Gastrectomy and Transvaginal Specimen Extraction in a Morbidly Obese Patient with Gastric Cancer

2016

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Laparoscopic 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.

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“…Her iki çalışmanın eksik yönü ise yöntemlerini geleneksel yöntemlerle kııyaslamamış olmalarıydı. Laparoskopik bazı çalışmalarda ise transvajinal olarak veya uç dikiş tekniği ile piyeslerin çıkarılması farklı modaliteler olarak sunulmuş fakat cerrahlar ve hastalar tarafından rağbet görmemiştir [19][20][21] .…”

Section: Cerrahi Uygulamaunclassified

Comparison of extraction methods in metabolic surgery: is the endo bag useful?

Yormaz¹,

Yılmaz²,

Ece³

et al. 2018

Cukurova Medical Journal

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Özet Purpose: Morbid obesity has become a global problem nowadays and different surgical methods are being applied to overcome it. In our study, we aimed to compare endobag and wound protection methods of tissue removal methods after laparoscopic sleeve gastrectomy (LSG) for morbid obesity. Materials and Methods: We have retrospectively reviewed 120 records of 80 male and 40 female patients who underwent laparoscopic sleeve gastrectomy due to morbid obesity in our clinic between January 2015 and November 2016. Demographic findings, duration of surgery, complications, wound infection rates and duration of length of stay in hospital were evaluated. Results: The mean duration of bariatric surgery was 72.1 ± 21.4 minutes (range 34-97 min). The mean duration of operation was 68.2 ± 6.4 in the endobag operation and 77.1 ± 5.8 min in the wound protection method. Mean postoperative hospital stay was 5.76 ± 1.17 days (5.2±1.3, 6.3±0.8). The difference between the wound infection rates of both groups was statistically significant. Conclusion: In our study, it was found that removal of the gastric field from the intrabdominal region by endo bag method in bariatric surgery is more effective due to leading less infection and complication rates than wound protection ring method.

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

Cited by 17 publications

References 20 publications

An Overwhelming Infection After Laparoscopic Transvaginal Natural Orifice Specimen Extraction Procedure for Right Hemi-colonic Radical Resection: A Case Report and Literature Review

An Overwhelming Infection After Laparoscopic Transvaginal Natural Orifice Specimen Extraction Procedure for Right Hemi-colonic Radical Resection: A Case Report and Literature Review

Laparoscopic Gastrectomy and Transvaginal Specimen Extraction in a Morbidly Obese Patient with Gastric Cancer

Comparison of extraction methods in metabolic surgery: is the endo bag useful?

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