Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2019; 7(24): 4314-4320
Published online Dec 26, 2019. doi: 10.12998/wjcc.v7.i24.4314
Natural orifice specimen extraction with laparoscopic radical gastrectomy for distal gastric cancer: A case report
Peng Sun, Xi-Shan Wang, Qi Liu, Yu-Song Luan, Yan-Tao Tian
Peng Sun, Xi-Shan Wang, Qi Liu, Yu-Song Luan, Department of Colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Peng Sun, Xi-Shan Wang, Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150081, Heilongjiang Province, China
Yan-Tao Tian, Department of Pancreatic and Gastric Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Author contributions: Tian YT and Wang XS designed the report; Sun P, Liu Q, and Luan YS collected the patient’s clinical data; Sun P analyzed the data and wrote the paper. Sun P and Wang XS contribute equally to this article.
Supported by National Natural Science Foundation of China, No. 81772642. Beijing science and technology plan, No.D171100002617004.
Informed consent statement: Consent was obtained from relatives of the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
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/
Corresponding author: Yan-Tao Tian, MD, Professor, Department of Pancreatic and Gastric Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17, Panjiayuan Nanli, Chaoyang District, Beijing 100021, China. tyt67@163.com
Telephone: +86-10-87787120 Fax: +86-10-87787120
Received: September 15, 2019
Peer-review started: September 15, 2019
First decision: October 14, 2019
Revised: November 11, 2019
Accepted: November 20, 2019
Article in press: November 20, 2019
Published online: December 26, 2019
Processing time: 100 Days and 21 Hours
Core Tip

Core tip: We successfully performed transrectal specimen extraction gastrectomy in a male patient without conversion and complications. This procedure significantly reduced damage to the abdominal wall and decreased postoperative pain. There was no visible scar on the abdominal wall. Total operative time and blood loss were 176 min and 50 mL, respectively. The patient resumed normal activities on day 1 without pain, and passed flatus within 48 h. Postoperative hospital stay was 10 d. The number of resected lymph nodes was 0/43. During the follow-up, no complications were detected, and computed tomography and laboratory test results showed no signs of tumor recurrence.