Journal of Gastric Cancer

  • 제16권1호
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  • Pages.51-53
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  • 2016
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  • 2093-582X(pISSN)
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  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
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Laparoscopic Gastrectomy and Transvaginal Specimen Extraction in a Morbidly Obese Patient with Gastric Cancer

  • 투고 : 2016.01.04
  • 심사 : 2016.02.01
  • 발행 : 2016.03.31
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초록

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.

키워드

참고문헌

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피인용 문헌

  1. Transabdominal versus transvaginal specimen extraction in mini‐laparoscopic surgery vol.45, pp.12, 2016, https://doi.org/10.1111/jog.14134
  2. Natural orifice specimen extraction with laparoscopic radical gastrectomy for distal gastric cancer: A case report vol.7, pp.24, 2016, https://doi.org/10.12998/wjcc.v7.i24.4314
  3. Totally laparoscopic resection and natural orifice specimen extraction surgery (NOSES) in synchronous rectal and gastric cancer vol.8, pp.1, 2016, https://doi.org/10.1093/gastro/goz064
  4. International consensus on natural orifice specimen extraction surgery (NOSES) for gastric cancer (2019) vol.8, pp.1, 2016, https://doi.org/10.1093/gastro/goz067
  5. Laparoscopic-Assisted Natural Orifice Specimen Extraction Gastrectomy Using an Auxiliary Incision-Free Tube for Gastric Cancer vol.270, pp.None, 2022, https://doi.org/10.1016/j.jss.2021.08.026