Totally laparoscopic subtotal gastrectomy and radical anterior resection for synchronous gastric and rectal cancer with natural orifice specimen extraction (NOSE) – a video vignette

2020 ◽  
Vol 22 (12) ◽  
pp. 2361-2361
Author(s):  
D. Wang ◽  
K. Fan ◽  
Y. Yan ◽  
W. Fu
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Subtotal Gastrectomy ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction ◽  
Laparoscopic Subtotal Gastrectomy ◽  
Totally Laparoscopic ◽  
Video Vignette

scholarly journals A Novel Method of Natural Orifice Specimen Extraction Surgery (NOSES) during Laparoscopic Anterior Resection for Rectal Cancer

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Jun Wang ◽  
Jun Hong ◽  
Qianwei Wang ◽  
Fen Luo ◽  
Fenghua Guo
Keyword(s):  
Rectal Cancer ◽  
Anterior Resection ◽  
Clinicopathological Characteristics ◽  
Postoperative Outcomes ◽  
Conventional Group ◽  
Reconstruction Method ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction ◽  
Laparoscopic Anterior Resection

We propose a modification to the reconstruction method of natural orifice specimen extraction surgery (NOSES) during laparoscopic anterior resection (LAR) for rectal cancer (RC) and evaluated its feasibility and short-term safety by comparing surgical and postoperative outcomes with those of conventional LAR. Twenty patients with RC underwent “double-purse” NOSES-LAR from October 2017 to June 2018. Data of clinicopathological characteristics, surgical and postoperative outcomes, and follow-up findings in NOSES-LAR cases were collected and retrospectively compared with those of conventional LAR to clarify the clinical benefits. The median postoperative hospital stay was lower in the double-purse NOSES group than the conventional group (6.6 vs. 7.1 days, respectively). In the conventional group, anastomotic leakage and incision site infection occurred in one patient each. In contrast, there were no complications in the double-purse group. There were no significant differences in blood loss, surgical duration, and time of the first flatus between the two groups. Additionally, “double-purse” NOSES-LAR was more economical than the conventional LAR. “Double-purse” NOSES-LAR is a safe, feasible, and minimally invasive promising procedure for LAR of RC with faster recovery, while requiring less surgical skills and lower clinical costs.

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