scholarly journals Successful treatment of recurrent rectal implantation metastasis of ovarian cancer by natural orifice specimen extraction surgery: a case report

2018 ◽  
Vol Volume 11 ◽  
pp. 5925-5931
Author(s):  
Hao Su ◽  
Bin Li ◽  
Wenhao Ren ◽  
Mandula Bao ◽  
Peng Wang ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Case Report ◽  
Successful Treatment ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction ◽  
Implantation Metastasis

scholarly journals An Overwhelming Infection After Laparoscopic Transvaginal Natural Orifice Specimen Extraction Procedure for Right Hemi-colonic Radical Resection: A Case Report and Literature Review

2021 ◽  
Author(s):  
Jian Shi ◽  
Jian-Nan Li ◽  
Min Wang ◽  
Ling-Yun Yu ◽  
Xu Han ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Case Report ◽  
Sudden Cardiac Arrest ◽  
Extraction Procedure ◽  
Blood Pressure Level ◽  
Radical Resection ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction ◽  
Post Surgery

Abstract BACKGROUNDLaparoscopic transvaginal natural orifice specimen extraction (NOSE) procedure, as one of sub-surgical procedure selections of NOSE, has been well discussed recently. Although most studies argued receiving better post-surgical outcomes than laparoscopic right hemi-colonic radical resection, disadvantages of laparoscopic transvaginal NOSE have seldom been reported. Herein, we reported a case with an overwhelming infection after laparoscopic transvaginal NOSE, even leading a sudden cardiac arrest, and also performed a review of the literature of NOSE, in hopes of expending experience with NOSE for every general surgeon.CASE PRESENTATIONA 78-year-old female patient was diagnosis with ascending colon carcinoma (cT3N0M0). After pre-surgical preparation, a laparoscopic transvaginal NOSE was performed. At the 1st day post-surgery, a septic shock was manifested, with an acute cardiac failure. An intensive care unit therapy was given immediately, including anti-inflammatory therapy, anti-shock therapy, cardiac functional supporting therapy. At the 2nd day post-surgery, there was a sudden cardiac arrest. A cardiac emergency treatment was immediately given to her, following a comprehensive therapy. After a supporting treatment, this patient was discharged from our department at 12 days post-surgically, with a normal manifestation of blood pressure level, breath rate, heart rate, body temperature, white blood cell count, et al. However, a complaint of intermittent precordial pain still existed when discharging from our department. She was transferred to cardiovascular medicine department for a further treatment on cardiac function then. After another 18 days treatment, she left from hospital.CONCLUSIONSConsidering many clinical trials on NOSE with positive clinical outcomes, NOSE was recommended to an optional surgical treatment for gastrointestinal carcinoma. However, this case report reminders general surgeons that post-surgical complications to NOSE, some are even fatal, still has possibility to come out. A thorough evaluation pre-operationally and an appropriate therapy post-operationally are crucial and inevitable.

scholarly journals Robotic natural orifice specimen extraction surgery versus traditional robotic-assisted surgery (NOTR) for patients with colorectal cancer: a study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Rui Luo ◽  
Fangfang Zheng ◽  
Haobo Zhang ◽  
Weiquan Zhu ◽  
Penghui He ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction ◽  
Robotic Assisted ◽  
Randomized Controlled ◽  
Robotic Assisted Surgery ◽  
Secondary Outcomes

Abstract Background Natural orifice specimen extraction surgery for colorectal cancer has been introduced in order to reduce the abdominal incision, demonstrating major development potential in minimally invasive surgery. We are conducting this randomized controlled trial to assess whether robotic NOSES is non-inferior to traditional robotic-assisted surgery for patients with colorectal cancer in terms of primary and secondary outcomes. Method/design Accordingly, a prospective, open-label, randomized controlled, parallel-group, multicenter, and non-inferiority trial will be conducted to discuss the safety and efficacy of robotic natural orifice extraction surgery compared to traditional robotic-assisted surgery. Here, 550 estimated participants will be enrolled to have 80% power to detect differences with a one-sided significance level of 0.025 in consideration of the non-inferiority margin of 10%. The primary outcome is the incidence of surgical complications, which will be classified using the Clavien-Dindo system. Discussion This trial is expected to reveal whether robotic NOSES is non-inferior to traditional robotic-assisted surgery, which is of great significance in regard to the development of robotic NOSES for patients with colorectal cancer in the minimally invasive era. Furthermore, robotic NOSES is expected to exhibit superiority to traditional robotic-assisted surgery in terms of both primary and secondary outcomes. Trial registration ClinicalTrials.govNCT04230772. Registered on January 15, 2020.

scholarly journals Role of robotic natural orifice specimen extraction surgery in colorectal neoplasms

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hongliang Yao ◽  
Tiegang Li ◽  
Weidong Chen ◽  
Sanlin Lei ◽  
Kuijie Liu ◽  
...  
Keyword(s):  
Colorectal Neoplasms ◽  
Average Distance ◽  
Neoadjuvant Chemoradiotherapy ◽  
Operation Time ◽  
Patient Characteristics ◽  
Safe Procedure ◽  
Natural Orifice ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction

AbstractNatural orifice specimen extraction surgery (NOSES) is especially suitable for colorectal surgery. Until now, most of the reports published were about laparoscopic NOSES, the reports about robotic NOSES are extremely rare. This study aims to explore the safety and feasibility of robotic NOSES for colorectal neoplasms. All patients underwent robotic NOSES from March 2016 to October 2019 in our hospital were enrolled for retrospective analysis. Clinicopathological data including patient characteristics, perioperative information and pathological information were collected and analyzed. According to the distance between tumor and anus or whether neoadjuvant chemoradiotherapy (nRCT) is performed, we grouped the cases and studied its influence on robotic NOSES. Also, we compared the previous reports on laparoscopic NOSES with our study and revealed advantages of robotic NOSES in terms of safety and feasibility. A total of 180 patients were enrolled. The average distance from the lower edge of the tumor to the anus was (8.64 ± 3.64) cm and maximum circumferential diameter (CDmax) of specimen was (3.5 ± 1.6) cm. In terms of safety, the average operation time, intraoperative blood loss, and postoperative hospital stay were (187.5 ± 78.3) min, (47.4 ± 34) mL, and (11.3 ± 7.5) days, respectively. In terms of feasibility, the average number of lymph node harvested was (14.8 ± 5). Robotic NOSES shows advantages in terms of safety and feasibility compared with laparoscopic NOSES. This procedure could not only be a safe procedure but also could achieve good oncological outcomes.

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