Work

Total laparoscopic distal gastrectomy for gastric cancer with transvaginal natural orifice specimen extraction (GC-NOSES): A video vignette

Year: 2025

Type: article

Abstract: Technique Conventional laparoscopic gastric resection requires an abdominal incision for specimen extraction, which not only affects cosmetic outcomes but also results in slower postoperative recovery. Therefore, we performed a total laparoscopic distal gastrectomy for gastric cancer with transvaginal natural orifice specimen extraction (GC-NOSES). This technique has been implemented at our center, and this study outlines the surgical procedure, accompanied by a video for a more comprehensive understanding. Results Strict adherence to the fundamentals of asepsis and oncological clearance was upheld during the operation. We smoothly performed a total laparoscopic distal gastrectomy for gastric cancer, with transvaginal specimen extraction, thus avoiding an abdominal incision. Postoperatively, the patient had negative surgical margins and was discharged without significant complications. Conclusion GC-NOSES removes the need for an abdominal incision for specimen extraction, which accelerates the recovery of the patient.

Source: Asian Journal of Surgery

DOI: 10.1016/j.asjsur.2025.08.091

Authors: Dongbing Ding, Jiarong You, Rongpu Liang, Bo Wei

Institution: Third Affiliated Hospital of Sun Yat-sen University

Language: English

Topic: Minimally Invasive Surgical Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,200