Top

Published in:

01-03-2011 | Technical Note

Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer

Authors: Sang-Ho Jeong, Young-Joon Lee, Won Jun Choi, Won Young Paik, Chi-Young Jeong, Soon-Tae Park, Sang-Kyung Choi, Soon-Chan Hong, Eun-Jung Jung, Young-tae Joo, Woo-Song Ha

Published in: Gastric Cancer | Issue 1/2011

Abstract

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.

Lee HJ, Yang HK, Ahn YO. Gastric cancer in Korea. Gastric Cancer. 2002;5:177–82.PubMedCrossRef

Kamangar F, Dores GM, Anderson WF. Patterns of cancer incidence, mortality, and prevalence across five continents: defining priorities to reduce cancer disparities in different geographic regions of the world. J Clin Oncol. 2006;24:2137–50.PubMedCrossRef

Yang HK, Association IcotKGC. 2004 Nationwide gastric cancer report in Korea. J Korean Gastric Cancer Assoc. 2007;7:47–54.

Adachi Y, Suematsu T, Shiraishi N, Katsuta T, Morimoto A, Kitano S, et al. Quality of life after laparoscopy-assisted Billroth I gastrectomy. Ann Surg. 1999;229:49–54.PubMedCrossRef

Horiuchi T, Shimomatsuya T, Chiba Y. Laparoscopically assisted pylorus-preserving gastrectomy. Surg Endosc. 2001;15:325–8.PubMedCrossRef

Huscher CG, Anastasi A, Crafa F, Recher A, Lirici MM. Laparoscopic gastric resections. Semin Laparosc Surg. 2000;7:26–54.PubMed

Kim YW, Baik YH, Yun YH, Nam BH, Kim DH, Choi IJ, et al. Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: results of a prospective randomized clinical trial. Ann Surg. 2008;248:721–7.PubMedCrossRef

Mochiki E, Kamimura H, Haga N, Asao T, Kuwano H. The technique of laparoscopically assisted total gastrectomy with jejunal interposition for early gastric cancer. Surg Endosc. 2002;16:540–4.PubMedCrossRef

Uyama I, Sugioka A, Fujita J, Komori Y, Matsui H, Hasumi A. Laparoscopic total gastrectomy with distal pancreatosplenectomy and D2 lymphadenectomy for advanced gastric cancer. Gastric Cancer. 1999;2:230–4.PubMedCrossRef

10.

Uyama I, Sugioka A, Matsui H, Fujita J, Komori Y, Hatakawa Y, et al. Laparoscopic side-to-side esophagogastrostomy using a linear stapler after proximal gastrectomy. Gastric Cancer. 2001;4:98–102.PubMedCrossRef

11.

Delvaux G, Devroey P, De Waele B, Willems G. Trans-vaginal removal of gallbladders with large stones after laparoscopic cholecystectomy. Surg Laparosc Endosc. 1993;3:307–9.PubMed

12.

Kim J, Shim M, Kwun K. Laparoscopic-assisted trans-vaginal resection of the rectum. Dis Colon Rectum. 1996;39:582–3.PubMedCrossRef

13.

Gill IS, Cherullo EE, Meraney AM, Borsuk F, Murphy DP, Falcone T. Vaginal extraction of the intact specimen following laparoscopic radical nephrectomy. J Urol. 2002;167:238–41.PubMedCrossRef

14.

Palanivelu C, Rangarajan M, Jategaonkar PA, Anand NV. An innovative technique for colorectal specimen retrieval: a new era of “natural orifice specimen extraction” (N.O.S.E). Dis Colon Rectum. 2008;51:1120–4.PubMedCrossRef

15.

Nakajima K, Takahashi T, Souma Y, Shinzaki S, Yamada T, Yoshio T, et al. Trans-vaginal endoscopic partial gastrectomy in porcine models: the role of an extra endoscope for gastric control. Surg Endosc. 2008;22:2733–6.PubMedCrossRef

16.

Nakajima K, Nishida T, Takahashi T, Souma Y, Hara J, Yamada T, et al. Partial gastrectomy using natural orifice translumenal endoscopic surgery (NOTES) for gastric submucosal tumors: early experience in humans. Surg Endosc. 2009;23:2650–5.CrossRef

17.

Swain P. Nephrectomy and natural orifice translumenal endoscopy (NOTES): trans-vaginal, transgastric, transrectal, and transvesical approaches. J Endourol. 2008;22:811–8.PubMedCrossRef

18.

Roovers JP, van der Bom JG, van der Vaart CH, van Leeuwen JH, Scholten PC, Heintz AP. A randomized comparison of post-operative pain, quality of life, and physical performance during the first 6 weeks after abdominal or vaginal surgical correction of descensus uteri. Neurourol Urodyn. 2005;24:334–40.PubMedCrossRef

19.

Paraiso MF, Barber MD, Muir TW, Walters MD. Rectocele repair: a randomized trial of three surgical techniques including graft augmentation. Am J Obstet Gynecol. 2006;195:1762–71.PubMedCrossRef

20.

Goh P, Tekant Y, Kum CK, Isaac J, Shang NS. Totally intra-abdominal laparoscopic Billroth II gastrectomy. Surg Endosc. 1992;6:160.PubMedCrossRef

21.

Kuo WH, Lee WJ, Chen CN, Yuan RH, Yu SC. Laparoscopic subtotal gastrectomy with lymphadenectomy in a patient with early gastric cancer. J Formos Med Assoc. 1998;97:127–30.PubMed

22.

Kanaya S, Gomi T, Momoi H, Tamaki N, Isobe H, Katayama T, et al. Delta-shaped anastomosis in totally laparoscopic Billroth I gastrectomy: new technique of intraabdominal gastroduodenostomy. J Am Coll Surg. 2002;195:284–7.PubMedCrossRef

23.

Takaori K, Nomura E, Mabuchi H, Lee SW, Agui T, Miyamoto Y, et al. A secure technique of intracorporeal Roux-Y reconstruction after laparoscopic distal gastrectomy. Am J Surg. 2005;189:178–83.PubMedCrossRef

24.

Ikeda O, Sakaguchi Y, Aoki Y, Harimoto N, Taomoto J, Masuda T, et al. Advantages of totally laparoscopic distal gastrectomy over laparoscopically assisted distal gastrectomy for gastric cancer. Surg Endosc. 2009;23:2374–9.PubMedCrossRef

25.

Saber AA, El-Ghazaly TH. Early experience with SILS port laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2009;19:428–30.PubMedCrossRef

26.

Varela JE. Single-site laparoscopic sleeve gastrectomy: preclinical use of a novel multi-access port device. Surg Innov. 2009;16:207–10.PubMedCrossRef

Title: Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer
Authors: Sang-Ho Jeong
Young-Joon Lee
Won Jun Choi
Won Young Paik
Chi-Young Jeong
Soon-Tae Park
Sang-Kyung Choi
Soon-Chan Hong
Eun-Jung Jung
Young-tae Joo
Woo-Song Ha
Publication date: 01-03-2011
Publisher: Springer Japan
Published in: Gastric Cancer / Issue 1/2011
Print ISSN: 1436-3291
Electronic ISSN: 1436-3305
DOI: https://doi.org/10.1007/s10120-011-0006-8

ACC 2024 Congress Coverage

Heart Failure Video

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Trans-vaginal specimen extraction following totally laparoscopic subtotal gastrectomy in early gastric cancer

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2011

Effectiveness and safety of oxaliplatin compared to cisplatin for advanced, unresectable gastric cancer: a systematic review and meta-analysis

Depth-predicting score for differentiated early gastric cancer

Why is the coexistence of gastric cancer and duodenal ulcer rare? Examination of factors related to both gastric cancer and duodenal ulcer

Randomized phase III study comparing the efficacy and safety of irinotecan plus S-1 with S-1 alone as first-line treatment for advanced gastric cancer (study GC0301/TOP-002)

Assessing clinical benefit response in the treatment of gastric malignant ascites with non-measurable lesions: a multicenter phase II trial of paclitaxel for malignant ascites secondary to advanced/recurrent gastric cancer

Increased Slug and decreased E-cadherin expression is related to poor prognosis in patients with gastric cancer

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page