A case of simultaneous transvaginal NOTES gastrectomy and vaginal hysterectomy in a patient with gastric submucosal tumor and uterine prolapse.

Masashi Hirota, Kiyokazu Nakajima, Johji Hara, Tsuyoshi Takahashi, Makoto Yamasaki, Tateki Tsutsui, Eiji Kobayashi, Yukinori Kurokawa, Hiroshi Miyata, Shuji Takiguchi, Masaki Mori, Yuichiro Doki

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A 5-cm gastric submucosal tumor was incidentally found through abdominal CT as a preoperative work-up for hysterectomy in a 62-year-old woman with uterine prolapse. NOTES using a flexible gastrointestinal endoscope via the transvaginal route was indicated to accomplish concomitant partial gastrectomy and hysterectomy. Perigastric dissection was performed, followed by stapled partial gastrectomy using transvaginal NOTES technique with two transabdominal ports. The specimen was delivered transvaginally by enlarging the initial vaginal entry site. Vaginal hysterectomy was then accomplished by utilizing the enlarged vaginal wound. The patient showed rapid and uneventful postoperative recovery without any narcotic need. No complication was noted, her cosmetic result was satisfactory, and there was complete resolution of preoperative gynecological symptoms. Female patients with concomitant gastrointestinal and gynecological conditions requiring large specimen retrieval would potentially be suitable candidates for the transvaginal NOTES approach.

元の言語英語
ページ(範囲)168-171
ページ数4
ジャーナルAsian journal of endoscopic surgery
5
発行部数4
DOI
出版物ステータス出版済み - 11 2012

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    Hirota, M., Nakajima, K., Hara, J., Takahashi, T., Yamasaki, M., Tsutsui, T., Kobayashi, E., Kurokawa, Y., Miyata, H., Takiguchi, S., Mori, M., & Doki, Y. (2012). A case of simultaneous transvaginal NOTES gastrectomy and vaginal hysterectomy in a patient with gastric submucosal tumor and uterine prolapse. Asian journal of endoscopic surgery, 5(4), 168-171. https://doi.org/10.1111/j.1758-5910.2012.00153.x