Laparoscopic left colectomy combined with natural orifice access: operative technique and initial results

Saad, Stefano; Hosogi, Hisahiro

doi:10.1007/s00464-011-1574-8

Cited by 32 publications

(26 citation statements)

References 9 publications

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“…Similarly, visceral obesity or nodal disease would result in a bulky mesocolon that may preclude the successful extraction of an otherwise small tumour specimen. A hypothetical solution would be to deliver the mesocolon separately from the main colonic specimen, 12 although the oncological consequence of such a technique remains questionable. This would be less of a concern in benign pathologies, where lymphadenectomy and mesenteric excision may be omitted.…”

Section: Discussionmentioning

confidence: 99%

Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Ngu

Wong

2015

ANZ Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Ngu

Wong

2015

ANZ Journal of Surgery

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“…However, it may offer additional benefits, especially when performed at the same time as a gynecological procedure . Specimen extraction via the anorectum can be applied in both sexes and is widely reported in a number of studies . However, the technique is associated with risk of injury to the anorectum and potential intra‐abdominal contamination.…”

Section: Nosementioning

confidence: 99%

“…Since Franklin et al . reported a series of patients who underwent laparoscopic sigmoid colon resection with transanal specimen removal in 1993 , there have been a number of case series reporting laparoscopic colectomy with NOSE . However, only a few of these studies compared the outcomes of NOSE and conventional laparoscopic colectomy .…”

Section: Transanal Removal Of Specimenmentioning

confidence: 99%

Advances in laparoscopic colorectal surgery: A review on NOTES and transanal extraction of specimen

Leung

Cheung

2013

Asian J Endoscop Surgery

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Laparoscopic colorectal surgery has rapidly developed since the 1980s. Relative to open surgery, it offers the benefits of less invasiveness and earlier recovery. However, when a mini-laparotomy wound is needed to retrieve the specimen, the benefits of minimally invasive surgery may be compromised as a result of pain- and wound-related complications. The introduction of natural orifice transluminal endoscopic surgery (NOTES) makes "scarless" surgery a possibility; pain- and wound-related complications are totally abolished. However, a number of technical issues need to be overcome before this technique can be used widely. The development of natural orifice specimen extraction surgery abandons the need for a specimen-retrieval incision and helps overcome the technical hurdles of NOTES. As a bridge between true "scarless" surgery and conventional laparoscopic surgery, hybrid procedures combining laparoscopic resection and natural orifice specimen extraction surgery currently play an important role in minimally invasive colorectal surgery.

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“…Using the transanal endoscopic microsurgery working port, several groups have reported on hybrid transanal down-to-up rectal resection with total mesorectal excision for malignant disease and sigmoid resections for diverticular disease and rectal prolapse [21,22,23,24]. Another feature of the transanal approach for colonic disease is the implementation of a genuine totally laparoscopic colon resection with transrectal specimen extraction [25,26,27].…”

Section: Transrectal Proceduresmentioning

confidence: 99%

NOTES: Current Status and Recent Developments

Antoniou

Bartsch

2012

Visc Med

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Background: The beneficial clinical results of laparoscopic surgery have prompted modern investigations to further minimize surgical trauma and to optimize cosmetic results. Natural orifice transluminal endoscopic surgery (NOTES®) refers to the surgical concept of entering the surgical field through a body lumen for diagnostic and therapeutic purposes without producing visible scars. Method: A review of the current literature was undertaken by means of the electronic databases Excerpta Medica and EMBASE. Results: Although the level of clinical evidence is low, the concept of NOTES has found clinical application in a variety of abdominal procedures, such as cholecystectomy, appendectomy, and sigmoidectomy. The vagina represents the most frequent access route for NOTES while the stomach, the rectum, and the transoral approach are further options. Several clinical studies have demonstrated the feasibility of a wide variety of NOTES procedures; however, there are currently no hard data supporting the superiority of this approach over conventional laparoscopic techniques. Furthermore, inherent limitations of the NOTES concept, such as the loss of triangulation, difficult tissue manipulation, and the potential contamination of the surgical field, warrant technological advances in medical endoscopy, instrumentation, and endoscopic tissue closure. Conclusions: In its current status, NOTES has to be considered as a stage towards minimization of surgical access trauma rather than as an established surgical concept.

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Laparoscopic left colectomy combined with natural orifice access: operative technique and initial results

Abstract: The described technique, a combination of laparoscopic and natural orifice surgery, has the potential to avoid incision-related morbidity of the minilaparotomy in laparoscopic left colon resections.

Cited by 32 publications

References 9 publications

Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns

Advances in laparoscopic colorectal surgery: A review on NOTES and transanal extraction of specimen

NOTES: Current Status and Recent Developments

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