Laparoscopic Proximal Gastrectomy with Transvaginal Specimen Extraction (GC-NOSES VI)

Abstract

At present, common laparoscopic gastric tumor surgeries require an auxiliary incision of about 4–6 cm in length to extract the specimen, which also partially offsets the minimally invasive advantages of laparoscopic surgery. Except that the method of specimen extraction is different from that of conventional laparoscopic surgery, the resection of tumor, lymph node dissection, and dissecting plane during the surgery of laparoscopic NOSES for gastric tumor are consistent with those of conventional laparoscopic surgery. Specimen extraction through a natural orifice eliminates the auxiliary incision of the abdominal wall, which can not only ensure the radical resection of tumor but also reduce the damage to organs and tissues. Therefore, this is an ideal procedure that improves the psychological feelings of patients and fully satisfies the requirements of functional surgery.