eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2014
vol. 9
 
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abstract:
Case report

Laparoscopic gastric resection with natural orifice specimen extraction for postulcer pyloric stenosis

Jan Dostalik
,
Petra Gunkova
,
Igor Gunka
,
Miloslav Mazur
,
Tomas Mrazek

Videosurgery Miniinv 2014; 9 (2): 282–285
Online publish date: 2014/03/31
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Although natural orifice specimen extraction is now relatively widely performed, there have been no reports on gastric resection with specimen extraction through the transgastric route for peptic ulcer disease. A hybrid technique of the laparoscopic and endoscopic approach is presented in the case of a 58-year old male patient. Preoperative gastric fibroscopy showed postulcer pyloric and antral stenosis. Laparoscopic exploration confirmed gastric enlargement. Laparoscopic two-thirds gastrectomy was performed. The staple line suture of the residual stomach was excised and the specimen was extracted through the esophagus and mouth with a gastroscope. Finally, the residual stomach was closed again using linear endostaplers. Reconstruction was performed according to the Roux-en-Y method. Gastric resection using natural orifice specimen extraction (NOSE) may be a feasible operative procedure. The NOSE with the combination of standard laparoscopy and specimen extraction through a natural orifice can be considered as a bridge to natural orifice translumenal endoscopic surgery.
keywords:

laparoscopy, gastric resection, natural orifice specimen extraction

  
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