ArticleSurgical endoscopy2012
Minilaparoscopy-assisted natural orifice total colectomy: technical report of a minilaparoscopy-assisted transrectal resection.
Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Laparoscopic natural orifice specimen extraction-colectomy: a systematic review.World journal of gastroenterology · 2014Pooled it
- A systematic review of transanal minimally invasive surgery (TAMIS) from 2010 to 2013.Techniques in coloproctology · 2014Pooled it
- Minimal invasive surgery: NOSE and NOTES in ulcerative colitis.Surgical endoscopy · 2015Trial
- IRIS U kit usefulness in transanal total mesorectal excision for lower rectal cancer to avoid urethral injury.BMC gastroenterology · 2024Article
- Article
- Recent advances in the management of rectal cancer: No surgery, minimal surgery or minimally invasive surgery.World journal of gastrointestinal surgery · 2017Review
- Single-Port Surgery in Inflammatory Bowel Disease: A Review of Current Evidence.World journal of surgery · 2016Review
- Minimally invasive surgery for inflammatory bowel disease: Current perspectives.World journal of gastrointestinal pharmacology and therapeutics · 2016Review
- Transanal Minimally Invasive Surgery: State of the Art.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Review
- Endoscopic surgery - exploring the modalities.World journal of gastrointestinal surgery · 2015Review
- Shifting Paradigms in Minimally Invasive Surgery: Applications of Transanal Natural Orifice Transluminal Endoscopic Surgery in Colorectal Surgery.Clinics in colon and rectal surgery · 2015Review
- New trends in colorectal surgery: single port and natural orifice techniques.World journal of gastroenterology · 2014Review
- Specimen retrieval approaches in patients undergoing laparoscopic colorectal resections: a literature-based review of published studies.Gastroenterology report · 2014Review
- Transrectal robotic natural orifice translumenal endoscopic surgery (NOTES) applied to intestinal anastomosis in a porcine intestine model.Surgical endoscopy · 2013Article
- State-of-the-art surgical approaches to the treatment of medically refractory ulcerative colitis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2013Review
- Current evidence in gastrointestinal surgery: natural orifice translumenal endoscopic surgery (NOTES).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2013Article
- Transanal natural orifice transluminal endoscopic surgery (NOTES) rectal resection: "down-to-up" total mesorectal excision (TME)--short-term outcomes in the first 20 cases.Surgical endoscopy · 2013Article
- Surgical management of IBD--from an open to a laparoscopic approach.Nature reviews. Gastroenterology & hepatology · 2013Review
- Transanal hybrid colon resection: from laparoscopy to NOTES.Surgical endoscopy · 2013Article
- Minilaparoscopy-assisted transrectal low anterior resection (LAR): a preliminary study.Surgical endoscopy · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExperimental experience and the technological evolution of minimally invasive surgical devices have allowed initial reports describing the clinical applicability of natural orifice translumenal endoscopic surgery (NOTES). Colorectal resections are an interesting target for the NOTES platform. Theoretically, the transrectal approach could overcome the proposed limitations of transvaginal access, increasing NOTES clinical applicability. Hybrid procedures such as minilaparoscopy-assisted natural orifice surgery (MA-NOS) are the safe progression to pure NOTES. This report describes the first clinical case of a transrectal MA-NOS total colectomy.
methodsThe patient was a 36-year-old man with severe ulcerative colitis (UC) who experienced failure of immunosuppressive therapy. The standard steps of laparoscopic total colectomy were respected, with basic triangulation maintained throughout the case. A transrectal endoscopic device was used for optic assistance, colon dissection, ileum section, and specimen retrieval. Transrectal MA-NOS total colectomy was assisted by three laparoscopic ports: a 12-mm port used as the terminal ileostomy site, a 2-mm needle epigastric port, and a 5-mm umbilical port used as a drain site at the final intervention. No intraoperative complications occurred.
resultsThe total operative time was 240 min. Oral intake was initiated on postoperative day 2. Because of UC rectal activity, a course with azathioprine was completed, and the patient was discharged receiving 1 g of rectal mesalazine for maintenance. The final pathology demonstrated pancolonic inflammatory bowel disease in the form of UC with severe activity.
conclusionsTransrectal MA-NOS total colectomy was feasible and safe in the reported case. Improvement in NOTES instrumentation and selective clinical applications are mandatory before clinical trials.
Indexed as
Identifiers
22258297What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.