Techniques in Coloproctology
Vol.23, Issue9, P. 899-902
Аннотация:
Background: Natural orifice specimen extraction (NOSE)surgery is gaining popularity among colorectal surgeons. The technical aspects of this new procedure are still debated and many variations have been presented in the last decade. Methods: We propose a new variation of transanal NOSE after robotic and laparoscopic LAR consisting of rectal eversion by using a special rod after laparoscopic TME. Eversion makes it possible to perform resection and placement of the anvil extracorporeally. We included a video demonstration of the technique. Clinical Patient Grading Assessment Scale was calculated 1 month after stoma closure and the Low Anterior Resection Syndrome (LARS)score was calculated preoperatively and 1 month after stoma closure. Results: Seven female patients with rectal cancer, all with normal BMI, underwent laparoscopic (n = 5) or robotic (n = 2) TME with rectal eversion. No intraoperative and postoperative complications were reported. One month after stoma closure, the median C
Ключевые слова:
Laparoscopic surgical procedures; Natural orifice surgery; Rectal neoplasms; Robotic surgical procedures
abdominal surgery; adult; Article; cancer patient; clinical article; clinical outcome; Clinical Patient Grading Assessment Scale; colon resection; female; human; laparoscopic surgery; middle aged; natural orifice specimen extraction surgery; preoperative period; rectum cancer; rectum resection; robot assisted surgery; scoring system; surgical technique; videorecording; abdomen; adverse event; laparoscopy; lymph node dissection; natural orifice transluminal endoscopic surgery; postoperative complication; procedures; rectum; rectum disease; rectum tumor; stoma; syndrome; treatment outcome; Abdomen; Adult; Female; Humans; Laparoscopy; Lymph Node Excision; Middle Aged; Natural Orifice Endoscopic Surgery; Postoperative Complications; Rectal Diseases; Rectal Neoplasms; Rectum; Robotic Surgical Procedures; Surgical Stomas; Syndrome; Treatment Outcome
Efetov S. K. Sergej Konstantinovich 1985-
Tulina I. A. Inna Andreevna 1984-
Kim V. D.
Kitsenko Yu. E. Yurij Evgenyevich 1989-
Picciariello A.
Tsar`kov P. V. Petr Vladimirovich 1957-
Ефетов С. К. Сергей Константинович 1985-
Тулина И. А. Инна Андреевна 1984-
Ким В. Д.
Киценко Ю. Е. Юрий Евгеньевич 1989-
Пиccиариелло А.
Царьков П. В. Петр Владимирович 1957-
Natural orifice specimen extraction (NOSE) surgery with rectal eversion and total extra-abdominal resection
Текст визуальный непосредственный
Techniques in Coloproctology
Springer-Verlag Italia Srl
Vol.23, Issue9 P. 899-902
2019
Статья
Laparoscopic surgical procedures Natural orifice surgery Rectal neoplasms Robotic surgical procedures
abdominal surgery adult Article cancer patient clinical article clinical outcome Clinical Patient Grading Assessment Scale colon resection female human laparoscopic surgery middle aged natural orifice specimen extraction surgery preoperative period rectum cancer rectum resection robot assisted surgery scoring system surgical technique videorecording abdomen adverse event laparoscopy lymph node dissection natural orifice transluminal endoscopic surgery postoperative complication procedures rectum rectum disease rectum tumor stoma syndrome treatment outcome Abdomen Adult Female Humans Laparoscopy Lymph Node Excision Middle Aged Natural Orifice Endoscopic Surgery Postoperative Complications Rectal Diseases Rectal Neoplasms Rectum Robotic Surgical Procedures Surgical Stomas Syndrome Treatment Outcome
Background: Natural orifice specimen extraction (NOSE)surgery is gaining popularity among colorectal surgeons. The technical aspects of this new procedure are still debated and many variations have been presented in the last decade. Methods: We propose a new variation of transanal NOSE after robotic and laparoscopic LAR consisting of rectal eversion by using a special rod after laparoscopic TME. Eversion makes it possible to perform resection and placement of the anvil extracorporeally. We included a video demonstration of the technique. Clinical Patient Grading Assessment Scale was calculated 1 month after stoma closure and the Low Anterior Resection Syndrome (LARS)score was calculated preoperatively and 1 month after stoma closure. Results: Seven female patients with rectal cancer, all with normal BMI, underwent laparoscopic (n = 5) or robotic (n = 2) TME with rectal eversion. No intraoperative and postoperative complications were reported. One month after stoma closure, the median C