ArticleTechniques in coloproctology2015
A new technique of totally laparoscopic resection with natural orifice specimen extraction (NOSE) for large rectal adenoma.
Article in Techniques in coloproctology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Standard versus eversion-modified double-staple technique for low colorectal anastomoses after resection of rectal cancer.Surgery today · 2021Article
- Short-term efficacy of natural orifice specimen extraction surgery for low rectal cancer.World journal of clinical cases · 2019Article
- Left colon resection with transrectal specimen extraction: current status.Techniques in coloproctology · 2018Review
- Natural orifice specimen extraction in colorectal surgery: patient selection and perspectives.Clinical and experimental gastroenterology · 2018Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is no consensus about the best technique to use for the surgical treatment for large rectal adenomas. The advent of laparoscopic surgery has led to the development of several new methods for the treatment of gastrointestinal tumors. This study was designed to introduce an innovative technique of totally laparoscopic resection with natural orifice specimen extraction (NOSE) for large rectal adenomas and to assess the feasibility and safety of the technique. Between February 2011 and January 2014, we performed totally laparoscopic resection with NOSE on 18 patients with a large rectal adenoma. This new technique was successful in all 18 patients. The average size of the adenoma was 4.2 cm. Mean operation time was 108.4 min, and mean intraoperative blood loss was 36.6 ml. The mean time to passing of the first flatus was 2.3 days, and the mean postoperative hospital stay was 7.2 days. Only one patient needed analgesics after the operation. All patients were able to walk within the first 2 days. There were no cases of morbidity and recurrence. Totally laparoscopic resection with NOSE appears to be suitable for selected patients with a large adenoma located in mid- or low rectum.
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