Zhang S, Jiang ZW, Wang G, Feng XB, Liu J, Zhao J, Li JS. Robotic gastrectomy with transvaginal specimen extraction for female gastric cancer patients. World J Gastroenterol 2015; 21(47): 13332-13338 [PMID: 26715817 DOI: 10.3748/wjg.v21.i47.13332]
Corresponding Author of This Article
Zhi-Wei Jiang, MD, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, 305 East Zhongshan Rd., Nanjing 210002, Jiangsu Province, China. surgery34@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 21, 2015; 21(47): 13332-13338 Published online Dec 21, 2015. doi: 10.3748/wjg.v21.i47.13332
Robotic gastrectomy with transvaginal specimen extraction for female gastric cancer patients
Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li
Shu Zhang, Zhi-Wei Jiang, Gang Wang, Xiao-Bo Feng, Jiang Liu, Jian Zhao, Jie-Shou Li, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, Nanjing 210002, Jiangsu Province, China
Author contributions: Zhang S and Jiang ZW contributed equally to this work; Jiang ZW and Li JS designed the research; Wang G, Feng XB and Liu J collected the data; Wang G, Feng XB and Zhao J analyzed the data; and Zhang S wrote the paper.
Institutional review board statement: This clinical study was approved by the Ethic Committee of Jinling Hospital, Nanjing University.
Informed consent statement: All patients involved in this study gave their written informed consent authorizing use and disclosure of their protected health information.
Conflict-of-interest statement: We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, and there is no professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, the manuscript entitled “Robotic Gastrectomy with Transvaginal Specimen Extraction for Female Gastric Cancer Patients”.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Zhi-Wei Jiang, MD, Department of General Surgery, Jinling Hospital, Medical School, Nanjing University, 305 East Zhongshan Rd., Nanjing 210002, Jiangsu Province, China. surgery34@163.com
Telephone: +86-25-80860034 Fax: +86-25-80860034
Received: May 23, 2015 Peer-review started: May 23, 2015 First decision: June 19, 2015 Revised: July 7, 2015 Accepted: September 13, 2015 Article in press: September 14, 2015 Published online: December 21, 2015 Processing time: 206 Days and 1.4 Hours
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/m2. 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.
Core tip: It is widely recognized that the natural orifice specimen extraction (NOSE) could reduce postoperative pain, length of stay, and morbidity. Although NOSE has been performed in different institutions, there has not been any report of transvaginal specimen extraction following full robot-sewn gastrectomy for female gastric cancer. This study describes the new application of complete robotic gastrectomy with transvaginal specimen extraction in eight patients with gastric cancer in Jinling Hospital. There were two different surgeries performed, robotic total gastrectomy and robotic distal gastrectomy.
