Robotic gastrectomy with transvaginal specimen extraction for female gastric cancer patients.

Abstract

AIM:

To describe the application of complete robotic gastrectomy with transvaginal specimen extraction (TVSE) for gastric cancer patients.

METHODS:

Between July and November 2014, eight female patients who were diagnosed with gastric adenocarcinoma underwent a TVSE following a full robot-sewn gastrectomy. According to the tumor location, the patients were allocated to two different groups; two patients received robotic total gastrectomy with TVSE and the other six received robotic distal gastrectomy with TVSE.

RESULTS:

Surgical procedures were successfully performed in all eight cases without conversion. The mean age was 55.3 (range, 42-69) years, and the mean body mass index was 23.2 (range, 21.6-26.0) kg/m(2). The mean total operative time and blood loss were 224 (range, 200-298) min and 62.5 (range, 50-150) mL, respectively. The mean postoperative hospital stay was 3.6 (range, 3-5) d. The mean number of lymph nodes resected was 23.6 (range, 17-27). None was readmitted within 30 d of postoperation. During the follow-up, no stricture developed nor was any anastomotic leakage detected.

CONCLUSION:

It is possible to perform a TVSE following a full robot-sewn gastrectomy with standard D2 lymph node resection for female gastric cancer patients.

• Authors: Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 21 Issue 47 Pg. 13332-8 (Dec 21 2015) ISSN: 2219-2840 [Electronic] United States
• PMID: 26715817 (Publication Type: Journal Article)

Topics

• Adenocarcinoma (secondary, surgery)
• Adult
• Aged
• Blood Loss, Surgical
• Female
• Gastrectomy (adverse effects, methods)
• Humans
• Length of Stay
• Lymph Node Excision
• Lymphatic Metastasis
• Middle Aged
• Natural Orifice Endoscopic Surgery (adverse effects, methods)
• Operative Time
• Robotic Surgical Procedures (adverse effects)
• Stomach Neoplasms (pathology, surgery)
• Time Factors
• Treatment Outcome
• Vagina