Total laparoscopic distal gastrectomy for gastric cancer with transvaginal natural orifice specimen extraction (GC-NOSES): A video vignette

Conventional laparoscopic gastric resection requires an abdominal incision for specimen extraction, which not only affects cosmetic outcomes but also results in slower postoperative recovery. Therefore, we performed a total laparoscopic distal gastrectomy for gastric cancer with transvaginal natural orifice specimen extraction (GC-NOSES). This technique has been implemented at our center, and this study outlines the surgical procedure, accompanied by a video for a more comprehensive understanding. Strict adherence to the fundamentals of asepsis and oncological clearance was upheld during the operation. We smoothly performed a total laparoscopic distal gastrectomy for gastric cancer, with transvaginal specimen extraction, thus avoiding an abdominal incision. Postoperatively, the patient had negative surgical margins and was discharged without significant complications. GC-NOSES removes the need for an abdominal incision for specimen extraction, which accelerates the recovery of the patient.