Robotic transvaginal natural orifice specimen extraction sigmoidectomy with extended D3 lymph node dissection for cancer — a video vignette

Tsarkov, Petr; Efetov, Sergey; Tulina, Inna; Kitsenko, Y. E.; Picciariello, Arcangelo; Kim, V D; Solodovnikova, A. K.

doi:10.1111/codi.14633

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…Few studies have reported the safety and feasibility of transvaginal specimen removal in laparoscopic colorectal surgery [12][13][14][15]. Additionally, few publications have reported the clinical outcomes of robotic anterior resection with transvaginal NOSE for sigmoid colon cancer or rectal cancer, and no study has compared the shortand long-term outcomes with a conventional robotic procedure [16]. Transvaginal specimen extraction has been used in robotic anterior resection for sigmoid colon cancer and rectal cancer in our institution since 2014.…”

Section: Introductionmentioning

confidence: 99%

Short- and long-term outcomes for transvaginal specimen extraction versus minilaparotomy after robotic anterior resection for colorectal cancer: a mono-institution retrospective study

et al. 2020

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Background: Colorectal cancer resection surgery with transvaginal specimen extraction is becoming increasingly accepted and used by surgeons. However, few publications on robotic anterior sigmoid colon and rectal cancer resection with transvaginal specimen extraction (TVSE) have been reported, and a clinical outcome comparison between conventional robotic minilaparotomy (LAP) and transvaginal specimen extraction in anterior sigmoid colon and rectal cancer resection has not been performed. The current study compared the short-and long-term outcomes of TVSE and LAP for sigmoid colon cancer and rectal cancer in a mono-institution. Methods: From December 2014 to October 2018, 45 patients who underwent TVSE and 45 patients who underwent LAP matched by tumor location, tumor stage, body mass index (BMI), American Society of Anesthesiologists (ASA) classification, gender, and age at the same period were included in the current study. The short-and long-term outcomes of TVSE and LAP were discussed. Results: No significant differences were found in patient characteristics. For the short-term outcomes, the operative time in the TVSE group was longer than that in the LAP group, and the postoperative pain and additional analgesia were lower in the TVSE group. Patients in the TVSE group required slightly less time to pass first flatus. There were no significant differences in overall complications, time to regular diet, length of hospital stay after surgery, estimated blood loss, or pathological outcomes. For long-term outcomes, the 3-year overall survival (94.9% vs. 91.7%, p = 0.702) and 3-year disease-free survival (88.4% vs. 86.2%, p = 0.758) were comparable between the two groups. Conclusion: The robotic TVSE is safe and feasible in selected sigmoid/upper rectal cancer patients with tumor diameter < 5 cm. This approach has slightly better short-term outcomes in terms of less postoperative pain and less analgesic requirements without any significant difference in long-term outcomes.

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Section: Introductionmentioning

confidence: 99%

Short- and long-term outcomes for transvaginal specimen extraction versus minilaparotomy after robotic anterior resection for colorectal cancer: a mono-institution retrospective study

et al. 2020

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International Guideline on Natural Orifice Specimen Extraction Surgery (NOSES) for Colorectal Cancer (2023 Version)

Liu,

Guan,

Zhang

et al. 2023

Natural Orifice Specimen Extraction Surgery

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International guideline on natural orifice specimen extraction surgery (NOSES) for colorectal cancer (2023 version)

et al. 2023

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Purpose In recent years, natural orifice specimen extraction surgery (NOSES) has gained widespread attention as an alternative approach. Although the safety and feasibility of NOSES have been well documented, many questions remain open for discussion. The aim of this guideline is to provide more evidence for the promotion of NOSES. Methods This guideline has been prepared by the CACA Committee of Colorectal Cancer Society and the International NOSES Alliance, based on the latest evidence. Results The guideline on NOSES for colorectal cancer include the definition, classification, technology requirement, indications, technical difficulties and clinical research. Conclusion The guideline provides a full introduction of the theoretical and technical aspects of NOSES for colorectal cancer which will beneficial to development of NOSES.

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Robotic transvaginal natural orifice specimen extraction sigmoidectomy with extended D3 lymph node dissection for cancer — a video vignette

Cited by 4 publications

References 9 publications

Short- and long-term outcomes for transvaginal specimen extraction versus minilaparotomy after robotic anterior resection for colorectal cancer: a mono-institution retrospective study

Short- and long-term outcomes for transvaginal specimen extraction versus minilaparotomy after robotic anterior resection for colorectal cancer: a mono-institution retrospective study

International Guideline on Natural Orifice Specimen Extraction Surgery (NOSES) for Colorectal Cancer (2023 Version)

International guideline on natural orifice specimen extraction surgery (NOSES) for colorectal cancer (2023 version)

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