Hybrid <scp>NOTES</scp> colectomy for right‐sided colonic tumors

Cheung, Tik Shing; Cheung, Hester Yui Shan; Ng, Lawrence W.C.; Chung, C. C.; Li, M K W

doi:10.1111/j.1758-5910.2011.00106.x

Cited by 15 publications

(5 citation statements)

References 6 publications

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“…While single‐incision laparoscopic resections may improve recovery, no robust data have yet appeared and these techniques are at an early stage in their development . Furthermore, transvaginal and transrectal specimen extraction to avoid abdominal wounds has been described, but with little data on short‐ and long‐term results . At this stage, no recommendation can be made on these procedures.…”

Section: Part B Intraoperative and Postoperative Eras Elementsmentioning

confidence: 99%

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice

Feldheiser

Aziz

Baldini

et al. 2015

Acta Anaesthesiol Scand

556

418

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BackgroundThe present interdisciplinary consensus review proposes clinical considerations and recommendations for anaesthetic practice in patients undergoing gastrointestinal surgery with an Enhanced Recovery after Surgery (ERAS) programme.MethodsStudies were selected with particular attention being paid to meta‐analyses, randomized controlled trials and large prospective cohort studies. For each item of the perioperative treatment pathway, available English‐language literature was examined and reviewed. The group reached a consensus recommendation after critical appraisal of the literature.ResultsThis consensus statement demonstrates that anaesthesiologists control several preoperative, intraoperative and postoperative ERAS elements. Further research is needed to verify the strength of these recommendations.ConclusionsBased on the evidence available for each element of perioperative care pathways, the Enhanced Recovery After Surgery (ERAS ®) Society presents a comprehensive consensus review, clinical considerations and recommendations for anaesthesia care in patients undergoing gastrointestinal surgery within an ERAS programme. This unified protocol facilitates involvement of anaesthesiologists in the implementation of the ERAS programmes and allows for comparison between centres and it eventually might facilitate the design of multi‐institutional prospective and adequately powered randomized trials.

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Section: Part B Intraoperative and Postoperative Eras Elementsmentioning

confidence: 99%

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice

Feldheiser

Aziz

Baldini

et al. 2015

Acta Anaesthesiol Scand

556

418

View full text Add to dashboard Cite

show abstract

“…Natural orifice specimen extraction (NOSE) is a method that can achieve specimen extraction from natural orifices (transvaginal, transanal, transrectal, transcolonic) [8]. Recently, several studies have confirmed the safety and feasibility of laparoscopic resection with NOSE for the treatment of colorectal disease [9][10][11][12][13][14][15]. However, conflicting conclusions stating that NOSE may increase the possibility of peritoneal contamination have also been yielded [16,17].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic resection with natural orifice specimen extraction versus conventional laparoscopy for colorectal disease: a meta-analysis

Huang

Gao

et al. 2015

Int J Colorectal Dis

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“…Coloshield may serve as an effective colon occlusion device during transrectal NOTES. It may contribute towards development of transrectal hybrid-NOTES in abdominal organs that are remote from the rectum such as cholecystectomy [7], prostatectomy [22], nephrectomy [23,24], or right sided colectomy [25]. Rectal washout with povidone reduced the contamination of the rectal wall and peritoneum in left colic resection (10).…”

Section: Discussionmentioning

confidence: 99%

Randomized clinical trial on the use of a colon-occlusion device to assist rectal washout

et al. 2020

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Background Transrectal Natural Orifice Transluminal Endoscopic Surgery is currently limited by the inherent risk of surgical site infection due to peritoneal contamination after rectotomy. Coloshield has been developed as a temporary colon occlusion device to facilitate rectal washout. However, effectiveness and safety has not been evaluated in humans. Methods Twenty-two patients have been randomly assigned to undergo proctological intervention with a rectal washout with and without the use of Coloshield. Patients and assessors were blinded. Boston Bowel Preparation Scale (BBPS) has been determined 30 min as well as immediately after rectal washout. Feasibility, pain, intra- and postoperative morbidity as well as bowel function and continence 6 weeks after surgery were assessed. Results BBPS 30 min after rectal washout with and without Coloshield was in mean 2.42 ± 1.02 and 2.12 ± 0.89 (p = 0.042). Mean BBPS immediately after rectal washout was 2.39 ± 1.02 and 2.24 ± 0.66 (p = 0.269). Mean BBPS immediately after rectal washout and 30 min thereafter did not differ (p = 0.711). Coloshield application was feasible without any complications. The median (interquartile range) numeric rating scale for pain 4 h after surgery was 1 (0–1) and 3 (0–4) (p = 0.212). Six weeks after surgery 0/11 and 1/11 patients suffered from evacuation difficulties (p = 1.0) and the median Vaizey–Wexner score was 1 (0–3) and 1 (0–2) (p = 0.360). Conclusions Coloshield application in humans is feasible and safe. Slight benefits in rectal preparation by washout are found when Coloshield is used. Colon occlusion by Coloshield for transrectal NOTES should be evaluated within clinical studies. Trial registration Clinicaltrials.gov NCT02579330

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Hybrid NOTES colectomy for right‐sided colonic tumors

Cited by 15 publications

References 6 publications

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice

Laparoscopic resection with natural orifice specimen extraction versus conventional laparoscopy for colorectal disease: a meta-analysis

Randomized clinical trial on the use of a colon-occlusion device to assist rectal washout

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