Natural orifice specimen extraction with laparoscopic radical gastrectomy for distal gastric cancer: A case report

Figure 1 One more trocar was placed into the right lower abdomen to assist with specimen extraction. A: Position of the trocars; B: The anterior wall of the upper rectum was cut using electrocautery; C: The specimen bag was gently pulled out of the body; D: Barbed wire sutures were used to close the incision; E: The rectal incision was completely closed; F: The specimen of distal gastric cancer.

Figure 2 Colonoscopy showed no stenosis in the rectal cavity at 3 mo after surgery (arrow).