Laparoscopic extraction of gastric denture
Epublication WebSurg.com, Sep 2016;16(09). URL: http://websurg.com/doi/vd01en4732
A 49-year-old generally fit man presented with abdominal pain following accidental swallowing of his denture 2 weeks previously. He looked well and his abdomen was soft and non-tender. A CT-scan showed a denture in the pyloric antrum of the stomach. Gastroenterologists thought that it would be too large to be removed endoscopically. Laparoscopy was performed and the denture could be easily felt with a laparoscopic forceps. The denture was extracted in an Albert bag via the umbilical port after longitudinal gastrotomy. The gastrotomy was closed with 2/0 Vicryl continuous suture in 2 layers intracorporeally as shown on the video. The patient was discharged on postoperative day 2 and remains well at 6 weeks of follow-up. Laparoscopic extraction of the gastric foreign body has the advantage of quicker recovery and better cosmesis as compared to the open technique.