Laparoscopic Gastrectomy and Transvaginal Specimen Extraction in a Morbidly Obese Patient with Gastric Cancer.
- Author:
Fatih SUMER
1
;
Cuneyt KAYAALP
;
Servet KARAGUL
Author Information
- Publication Type:Case Report
- Keywords: Stomach neoplasms; Natural orifice endoscopic surgery; Laparoscopy; Obesity
- MeSH: Far East; Gastrectomy*; Gastric Bypass; Humans; Laparoscopy; Lymph Node Excision; Natural Orifice Endoscopic Surgery; Obesity; Public Health; Stomach Neoplasms*; Vagina
- From:Journal of Gastric Cancer 2016;16(1):51-53
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
