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Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video

Because of its significant advantage of fast postoperative recovery, natural orifice specimen extraction surgery (NOSES) has attracted increasing attention worldwide. However, the NOSES in gastric cancer (GC) treatment still needs more clinical practice, especially for the rare anatomical anomaly. S...

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Autores principales: Li, Zeyu, Zhang, Xiaolong, Tian, Lifei, Liu, Zheng, Liao, Xinhua, Qiu, Jian, Wang, Guorong, Yan, Likun, Wang, Xiaoqiang, Wang, Xishan, Liu, Ruiting
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10242047/
https://www.ncbi.nlm.nih.gov/pubmed/37287912
http://dx.doi.org/10.3389/fonc.2023.1189948
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author Li, Zeyu
Zhang, Xiaolong
Tian, Lifei
Liu, Zheng
Liao, Xinhua
Qiu, Jian
Wang, Guorong
Yan, Likun
Wang, Xiaoqiang
Wang, Xishan
Liu, Ruiting
author_facet Li, Zeyu
Zhang, Xiaolong
Tian, Lifei
Liu, Zheng
Liao, Xinhua
Qiu, Jian
Wang, Guorong
Yan, Likun
Wang, Xiaoqiang
Wang, Xishan
Liu, Ruiting
author_sort Li, Zeyu
collection PubMed
description Because of its significant advantage of fast postoperative recovery, natural orifice specimen extraction surgery (NOSES) has attracted increasing attention worldwide. However, the NOSES in gastric cancer (GC) treatment still needs more clinical practice, especially for the rare anatomical anomaly. Situs inversus totalis (SIT) is a rare autosomal recessive anatomical anomaly with an incidence ranging between 1/8,000 and 1/25,000 births. We present a video of transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy performed in a 59-year-old woman known to have SIT. Preoperative investigations revealed that the patient had early GC at the antrum. A gastroscopy report from the local hospital showed signet-ring cell carcinoma. The preoperative computed tomography scan revealed irregular thickening of the gastric wall at the junction of the greater curvature and antrum without metastasis to the lymph nodes. In total, laparoscopic D2 distal gastrectomy was performed with transvaginal specimen extraction. Billroth II with Braun anastomosis was performed for reconstruction. The length of the operation was 240 min without intraoperative complications and with minimal blood loss of 50 ml. The patient was uneventfully discharged on postoperative Day 7. The final pathology confirmed signet-ring cell carcinoma confined to the mucosal muscle without metastasis in 16 lymph nodes. Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy can be safely performed in patients with SIT and has similar surgical outcomes to usual laparoscopic gastrectomy.
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spelling pubmed-102420472023-06-07 Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video Li, Zeyu Zhang, Xiaolong Tian, Lifei Liu, Zheng Liao, Xinhua Qiu, Jian Wang, Guorong Yan, Likun Wang, Xiaoqiang Wang, Xishan Liu, Ruiting Front Oncol Oncology Because of its significant advantage of fast postoperative recovery, natural orifice specimen extraction surgery (NOSES) has attracted increasing attention worldwide. However, the NOSES in gastric cancer (GC) treatment still needs more clinical practice, especially for the rare anatomical anomaly. Situs inversus totalis (SIT) is a rare autosomal recessive anatomical anomaly with an incidence ranging between 1/8,000 and 1/25,000 births. We present a video of transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy performed in a 59-year-old woman known to have SIT. Preoperative investigations revealed that the patient had early GC at the antrum. A gastroscopy report from the local hospital showed signet-ring cell carcinoma. The preoperative computed tomography scan revealed irregular thickening of the gastric wall at the junction of the greater curvature and antrum without metastasis to the lymph nodes. In total, laparoscopic D2 distal gastrectomy was performed with transvaginal specimen extraction. Billroth II with Braun anastomosis was performed for reconstruction. The length of the operation was 240 min without intraoperative complications and with minimal blood loss of 50 ml. The patient was uneventfully discharged on postoperative Day 7. The final pathology confirmed signet-ring cell carcinoma confined to the mucosal muscle without metastasis in 16 lymph nodes. Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy can be safely performed in patients with SIT and has similar surgical outcomes to usual laparoscopic gastrectomy. Frontiers Media S.A. 2023-05-23 /pmc/articles/PMC10242047/ /pubmed/37287912 http://dx.doi.org/10.3389/fonc.2023.1189948 Text en Copyright © 2023 Li, Zhang, Tian, Liu, Liao, Qiu, Wang, Yan, Wang, Wang and Liu https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Li, Zeyu
Zhang, Xiaolong
Tian, Lifei
Liu, Zheng
Liao, Xinhua
Qiu, Jian
Wang, Guorong
Yan, Likun
Wang, Xiaoqiang
Wang, Xishan
Liu, Ruiting
Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video
title Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video
title_full Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video
title_fullStr Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video
title_full_unstemmed Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video
title_short Case Report: Transvaginal specimen extraction following totally laparoscopic D2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video
title_sort case report: transvaginal specimen extraction following totally laparoscopic d2 distal gastrectomy for gastric cancer in a patient with situs inversus totalis: with video
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10242047/
https://www.ncbi.nlm.nih.gov/pubmed/37287912
http://dx.doi.org/10.3389/fonc.2023.1189948
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