Natural orifice specimen extraction with laparoscopic radical gastrectomy for distal gastric cancer: A case report.
Case report
Gastric cancer
Natural orifice specimen extraction
No visible incision
Postoperative pain
Totally laparoscopic surgery
Transrectal
Journal
World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806
Informations de publication
Date de publication:
26 Dec 2019
26 Dec 2019
Historique:
received:
15
09
2019
revised:
11
11
2019
accepted:
20
11
2019
entrez:
9
1
2020
pubmed:
9
1
2020
medline:
9
1
2020
Statut:
ppublish
Résumé
This article introduces the surgical method and early experience in performing totally laparoscopic radical gastrectomy with transrectal specimen extraction for gastric cancer, and we evaluate the short-term effects and feasibility of this new procedure for gastric cancer in a 64-year-old male patient. This approach may provide new possibilities for gastric natural orifice specimen extraction (NOSE) surgery. In addition, we believe that this new procedure may further relieve pain, speed up recovery, and cause minimal physiological and psychological impact. We performed NOSE gastrectomy in a male patient. Tumor resection, digestive tract reconstruction, and lymph node dissection were performed totally laparoscopically; the specimen was extracted from the natural orifice of the rectum-anus. This procedure reduced damage to the abdominal wall and decreased postoperative pain. We successfully performed radical gastrectomy without conversion and complications. Total operative time and blood loss were 176 min and 50 mL, respectively. The patient resumed normal activities of daily living on day 1 without pain, and passed flatus within 48 h. Postoperative hospital stay was 10 d. The number of resected lymph nodes was 0/43. During the follow-up, no stricture or anastomotic leakage was detected. Three months postoperatively, colonoscopy showed full recovery of the rectum without stricture or scar contracture. Computed tomography and laboratory test results showed no signs of tumor recurrence. There was no visible scar on the abdominal wall. It is safe and reliable to perform totally laparoscopic radical gastrectomy with transrectal specimen extraction for distal gastric cancer patients.
Sections du résumé
BACKGROUND
BACKGROUND
This article introduces the surgical method and early experience in performing totally laparoscopic radical gastrectomy with transrectal specimen extraction for gastric cancer, and we evaluate the short-term effects and feasibility of this new procedure for gastric cancer in a 64-year-old male patient. This approach may provide new possibilities for gastric natural orifice specimen extraction (NOSE) surgery. In addition, we believe that this new procedure may further relieve pain, speed up recovery, and cause minimal physiological and psychological impact.
CASE SUMMARY
METHODS
We performed NOSE gastrectomy in a male patient. Tumor resection, digestive tract reconstruction, and lymph node dissection were performed totally laparoscopically; the specimen was extracted from the natural orifice of the rectum-anus. This procedure reduced damage to the abdominal wall and decreased postoperative pain. We successfully performed radical gastrectomy without conversion and complications. Total operative time and blood loss were 176 min and 50 mL, respectively. The patient resumed normal activities of daily living on day 1 without pain, and passed flatus within 48 h. Postoperative hospital stay was 10 d. The number of resected lymph nodes was 0/43. During the follow-up, no stricture or anastomotic leakage was detected. Three months postoperatively, colonoscopy showed full recovery of the rectum without stricture or scar contracture. Computed tomography and laboratory test results showed no signs of tumor recurrence. There was no visible scar on the abdominal wall.
CONCLUSION
CONCLUSIONS
It is safe and reliable to perform totally laparoscopic radical gastrectomy with transrectal specimen extraction for distal gastric cancer patients.
Identifiants
pubmed: 31911913
doi: 10.12998/wjcc.v7.i24.4314
pmc: PMC6940342
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4314-4320Informations de copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
Références
Gastric Cancer. 2011 Oct;14(4):365-71
pubmed: 21573920
J Clin Oncol. 2016 Apr 20;34(12):1350-7
pubmed: 26903580
Minim Invasive Ther Allied Technol. 2017 Apr;26(2):71-77
pubmed: 27802070
BMJ. 2012 Jul 31;345:e4933
pubmed: 22849956
Gastroenterol Rep (Oxf). 2019 Feb;7(1):24-31
pubmed: 30792863
Surg Laparosc Endosc Percutan Tech. 2015 Oct;25(5):384-91
pubmed: 25730741
J Gastric Cancer. 2016 Mar;16(1):51-3
pubmed: 27104027
Surg Laparosc Endosc. 1994 Apr;4(2):146-8
pubmed: 8180768
Tech Coloproctol. 2019 Sep;23(9):899-902
pubmed: 31482393
Lancet. 2016 Nov 26;388(10060):2654-2664
pubmed: 27156933
World J Gastroenterol. 2016 Mar 14;22(10):2875-93
pubmed: 26973384
J Surg Res. 2019 Nov;243:236-241
pubmed: 31229790
Pain Pract. 2003 Dec;3(4):310-6
pubmed: 17166126
World J Gastroenterol. 2015 Dec 21;21(47):13332-8
pubmed: 26715817
World J Gastrointest Surg. 2010 Jun 27;2(6):203-6
pubmed: 21160875
BMJ. 2017 Jan 25;356:j108
pubmed: 28122812
J Endourol. 2008 Apr;22(4):811-8
pubmed: 18419222
World J Gastroenterol. 2016 Jan 14;22(2):727-35
pubmed: 26811620
Hepatogastroenterology. 2012 Mar-Apr;59(114):654-8
pubmed: 22328265
J Clin Oncol. 2014 Mar 1;32(7):627-33
pubmed: 24470012
Clin J Pain. 2000 Mar;16(1):22-8
pubmed: 10741815
Gastric Cancer. 2011 Mar;14(1):91-6
pubmed: 21264485
J Am Coll Surg. 2002 Aug;195(2):284-7
pubmed: 12168979
Wideochir Inne Tech Maloinwazyjne. 2014 Jun;9(2):282-5
pubmed: 25097701