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In the development of surgical technique, laparoscopic surgery has created a major breaking point. Although laparoscopy (decreased hospital stay, decreased incisional hernia and wound infection rate…) provides a remarkable advantage compared to open surgery, the need for the extraction site incision could not bring the incision-related morbidity rates to the desired level. That's why SILS and natural hole surgery came to the fore. Colorectal surgery was also affected by this process, and the laparoscopic colectomy procedure combined with transrectal colon extraction was first performed in 1993 (1). Although its use increased gradually after this period, it could not reach the expected levels and this could not resolve the concerns on natural hole surgery.
In this article, our aim is to present the single center results of the patients who performed the extraction with the NOSE method after laparoscopic colorectal surgery.
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| Measure | Description | Time Frame |
|---|---|---|
| complications due to incision and aesthetic score | Hernia, infection, hospital stay and aesthetic score | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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patients who underwent laparoscopic-natural orifice colectomy at General Surgery Clinic in Inonu University between January 2013 and July 2018
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| Name | Affiliation | Role |
|---|---|---|
| Ersin Gundogan, MD | Inonu University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Inonu University | Malatya | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29062451 | Background | Gundogan E, Aktas A, Kayaalp C, Gonultas F, Sumer F. Two cases of laparoscopic total colectomy with natural orifice specimen extraction and review of the literature. Wideochir Inne Tech Maloinwazyjne. 2017 Sep;12(3):291-296. doi: 10.5114/wiitm.2017.69227. Epub 2017 Jul 27. | |
| 26380054 | Background | Kayaalp C, Kutluturk K, Yagci MA, Ates M. Laparoscopic right-sided colonic resection with transluminal colonoscopic specimen extraction. World J Gastrointest Endosc. 2015 Sep 10;7(12):1078-82. doi: 10.4253/wjge.v7.i12.1078. |
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| ID | Term |
|---|---|
| D000069290 | Incisional Hernia |
| D013530 | Surgical Wound Infection |
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
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| 28447167 | Background | Karagul S, Kayaalp C, Sumer F, Ertugrul I, Kirmizi S, Tardu A, Yagci MA. Success rate of natural orifice specimen extraction after laparoscopic colorectal resections. Tech Coloproctol. 2017 Apr;21(4):295-300. doi: 10.1007/s10151-017-1611-2. Epub 2017 Apr 26. |
| 24789131 | Background | Awad ZT, Griffin R. Laparoscopic right hemicolectomy: a comparison of natural orifice versus transabdominal specimen extraction. Surg Endosc. 2014 Oct;28(10):2871-6. doi: 10.1007/s00464-014-3540-8. Epub 2014 May 2. |
| 36319790 | Derived | Gundogan E, Kayaalp C, Alinak Gundogan G, Sumer F. Total 102 natural orifice specimen extraction following laparoscopic colorectal resections. Updates Surg. 2023 Jan;75(1):197-203. doi: 10.1007/s13304-022-01412-4. Epub 2022 Nov 1. |
| D010335 | Pathologic Processes |
| D014946 | Wound Infection |
| D007239 | Infections |
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |