Clinical application of laparoscopic natural orifice specimen extraction surgery for rectal cancer

doi:10.3877/cma.j.issn.1674-3946.2021.01.031

Abstract

Abstract:

Radical surgery for rectal cancer has evolved from the initial concept of total mesorctal excision (TME) to the wide application of laparoscopic surgery. After rapid development in the past 30 years, laparoscopic TME surgery for rectal cancer has become the first choice for those patients with rectal cancer. However, the auxiliary abdominal incision which is used to remove resected specimens is contrary to the current concept of minimally invasive surgery. Avoiding abdominal wall incisions has become a common appeal of gastrointestinal surgeons and patients with rectal cancer. Natural orififice specimen extraction surgery (NOSES) could solve the problem of abdominal wall auxiliary incision, which could ensure both radical resection of rectal cancer and the gastrointestinal reconstruction by laparoscopic operation completely. The specimens could be taken out either from rectum or vagina without an auxiliary incision, which is more in line with minimally invasive practice and easier to operate. To investigate the current progress of laparoscopic NOSES for rectal cancer could provide reference for our colleague.

Key words: Rectal neoplasms, Laparoscopy, Natural orifice endoscopic surgery, Surgical procedures, minimally invasive

Fujian Xu, Ming Xie. Clinical application of laparoscopic natural orifice specimen extraction surgery for rectal cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(01): 107-110.

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