ReviewTechniques in coloproctology2018
Left colon resection with transrectal specimen extraction: current status.
Review in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- Randomized clinical trial on the use of a colon-occlusion device to assist rectal washout.Surgical endoscopy · 2021Trial
- Systematic Review and Meta-Analysis of Short- and Long-Term Outcomes Following Natural Orifice Specimen Extraction for Colon Cancer.Annals of gastroenterological surgery · 2026Review
- Laparoscopic Resection Rectopexy with Transanal Specimen Extraction for Complete Rectal Prolapse: Retrospective Cohort Study of Functional Outcomes.Journal of clinical medicine · 2026Article
- The initial experience of natural orifice specimen extraction surgery in laparoscopic colorectal surgery.Turkish journal of surgery · 2025Article
- Reduced-port laparoscopic right colonic resection with D3 lymph node dissection and transvaginal specimen extraction (NOSES VIIIa) for right colon cancer: clinical features.Techniques in coloproctology · 2024Article
- Comparison of the safety and efficacy of robotic natural orifice specimen extraction surgery and conventional robotic colorectal cancer resection: a propensity score matching study.Journal of robotic surgery · 2024Article
- Preliminary surgical outcomes of laparoscopic right hemicolectomy with transrectal specimen extraction: a propensity score matching study of 120 cases (with video).Gastroenterology report · 2023Article
- Laparoscopic splenic flexure resection for early colorectal cancer, transanal specimen extraction and intracorporeal handsewn anastomosis: a video vignette.Techniques in coloproctology · 2022Article
- A nomogram for predicting feasibility of laparoscopic anterior resection with trans-rectal specimen extraction (NOSES) in patients with upper rectal cancer.BMC surgery · 2021Article
- Laparoscopic radical right hemicolectomy with transrectal-specimen extraction: a novel natural-orifice specimen-extraction procedure.Gastroenterology report · 2021Article
- Minimally invasive right colectomy with transrectal natural orifice extraction: could this be the next step forward?Techniques in coloproctology · 2020Article
- Transanal hybrid colon resection: techniques and outcomes for benign colorectal diseases.Surgical endoscopy · 2020Article
- MIEO: a micro-invasive endoscopic operation port system for transluminal interventions-an acute and survival porcine study.Surgical endoscopy · 2020Article
- Natural orifice specimen extraction (NOSE) surgery with rectal eversion and total extra-abdominal resection.Techniques in coloproctology · 2019Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFull laparoscopic left colectomy with transrectal specimen extraction is proposed as an improvement of the minimally invasive surgical technique. This paper reviews in detail the current status of left-sided colectomy and upper rectum resection with transrectal specimen extraction.
methodsA systematic review was performed of all types of publications on colorectal resection with natural orifice specimen extraction (NOSE). We only included studies reporting on left colectomy, sigmoidectomy, and high anterior resection with transrectal specimen extraction (TRSE), excluding transanal (TASE), transvaginal, or transcolonic specimen extraction. Surgical techniques, patient characteristics, and outcomes were reviewed in detail.
resultsThirty-five papers reported on TRSE (2 randomized clinical trials, 7 case-matched series, 19 case series, 5 case reports, and 2 articles on surgical technique). We found a wide variety of innovative anastomotic and specimen extraction techniques. After excluding duplicates and papers reporting mixed TRSE and TASE results, outcomes in patients undergoing TRSE from 23 publications showed a conversion rate to conventional laparoscopy of 3.7% (21/559), overall morbidity 9.5% (53/559) [major in 2.9% (16/559), intra-abdominal infection in 2.1% (12/559)]. No mortality was reported. Postoperative anal incontinence was rarely reported. Several studies showed a decrease in postoperative pain and some in length of hospital stay.
conclusionsColectomy with TRSE is feasible and seems safe in selected patients. Reported outcomes seem in general similar to conventional laparoscopic colectomy with a possible benefit in postoperative pain and length of hospital stay. Obvious selection bias and lack of high quality trials do not allow firm conclusions to be drawn.
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