Natural Orifice Intra-Corporeal Anastomosis with Extraction: The NICE Procedure for Robotic Left-Sided Colorectal Resection for Benign Disease

2020 ◽  
pp. 61-70
Author(s):  
Eric M. Haas
Keyword(s):  
Colorectal Resection ◽  
Benign Disease ◽  
Natural Orifice

scholarly journals Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

2013 ◽  
Vol 26 ◽  
pp. 29-42 ◽  
Author(s):  
Isha Ann Emhoff ◽  
Grace Clara Lee ◽  
Patricia Sylla
Keyword(s):  
Endoscopic Surgery ◽  
Colorectal Resection ◽  
Natural Orifice

scholarly journals The Comparison of Laparoscopic Colorectal Resection with Natural Orifice Specimen Extraction versus Mini-Laparotomy Specimen Extraction for Colorectal Tumours: A Systematic Review and Meta-Analysis of Short-Term Outcomes

2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Jun He ◽  
Jun-Feng Hu ◽  
Shu-Xian Shao ◽  
Hai-Bo Yao ◽  
Xiu-Feng Zhang ◽  
...  
Keyword(s):  
Colorectal Resection ◽  
Weighted Mean Difference ◽  
Postoperative Recovery ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Short Term ◽  
Natural Orifice Specimen Extraction ◽  
Colorectal Tumours

Aim. The aims of this study were to compare the short-term outcomes of natural orifice specimen extraction surgery (NOSES) and conventional laparoscopic surgery (CLAPS) for colorectal tumours and to evaluate the safety and feasibility of NOSES in colorectal resection. Methods. A literature review was performed on the PubMed, Cochrane Library, and Embase databases up to March 2019. Papers conforming to the inclusion criteria were used for further analysis. The short-term outcomes included intraoperative outcomes and postoperative recovery results. The weighted mean difference (WMD) was calculated for continuous outcomes and odds ratio (OR) for dichotomous results. Study quality was evaluated using the Newcastle-Ottawa Quality Assessment Scale (NOS) or the 6-item Jadad scale. Results. Eight studies comprising 686 patients met the inclusion criteria. Compared with CLAPS, NOSES had more advantages in terms of postoperative complications, postoperative pain, recovery of gastrointestinal function, duration of hospital stay, and cosmetic results. The lymph nodes harvested and intraoperative blood loss in NOSES were comparable with CLAPS; however, a prolonged operative time was observed in NOSES. Conclusions. NOSES was shown to be a safe and viable alternative to CLAPS in colorectal oncology in terms of short-term results. Further long-term and randomized trials are required.

scholarly journals Clinical Application of the Reverse Puncture Technique for Total Laparoscopic Colorectal Resection with Natural Orifice Specimen Extraction

2020 ◽  
Author(s):  
Qi Kong ◽  
Yabin Xia ◽  
Hu Hao ◽  
Yan Jina ◽  
Longchao Wu ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Colorectal Resection ◽  
Average Length ◽  
Resection Margins ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Short Term ◽  
Laparoscopic Colorectal Resection ◽  
Natural Orifice Specimen Extraction ◽  
Puncture Technique

Abstract Objective To explore the feasibility, safety and short-term effects of the reverse puncture technique for total laparoscopic colorectal resection with natural orifice specimen extraction surgery (NOSES). Materials and Methods The clinical data of 28 patients undergoing total laparoscopic anterior resection with NOSE from July 2016 to July 2019 were retrospectively analysed. The operation was performed following the principle of total mesorectal excision. The reverse puncture technique was used to put the anvil into the proximal sigmoid colon. Then, intra-abdominal anastomosis of the proximal colon and distal rectum was carried out, and the short-term efficacy was evaluated. Results All 28 patients successfully underwent surgery, and the average operative time was 186 (160~220) min. The average time of anvil placement was 15 (12~18) min, the blood loss volume ranged from 60 to 150 ml, and the average length of hospital stay was 9.2 (7-11) d. All of the distal resection margins were confirmed to be negative by the pathological results. No surgery-associated complications, such as anastomosis stricture, leakage, or bleeding, were observed, and no local recurrence or metastasis occurred after 6 months of follow-up. Conclusion Reverse puncture for total laparoscopic colorectal resection with NOSE can avoid purse-string sutures under laparoscopy and avoid the auxiliary incision at the abdominal wall, which minimizes pain after operation. This approach is safe and feasible with a shortened hospital stay and rapid recovery, which results in good short-term clinical outcomes.

Benign Disease of the Antral Portion of the Stomach

1950 ◽  
Vol 15 (3) ◽  
pp. 399-406 ◽  
Author(s):  
Charles A. Flood
Keyword(s):  
Benign Disease
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