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

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 gastrectom...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2012-11, Vol.5 (4), p.168-171
Main Authors: Hirota, Masashi, Nakajima, Kiyokazu, Hara, Johji, Takahashi, Tsuyoshi, Yamasaki, Makoto, Tsutsui, Tateki, Kobayashi, Eiji, Kurokawa, Yukinori, Miyata, Hiroshi, Takiguchi, Shuji, Mori, Masaki, Doki, Yuichiro
Format: Article
Language:English
Subjects:
Female
Gastrectomy - methods
Gastric submucosal tumor
Humans
hysterectomy
Hysterectomy, Vaginal
Middle Aged
Natural Orifice Endoscopic Surgery - methods
Stomach Neoplasms - complications
Stomach Neoplasms - surgery
Uterine Prolapse - complications
Uterine Prolapse - surgery
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Summary: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.
ISSN:1758-5902
1758-5910
DOI:10.1111/j.1758-5910.2012.00153.x