Ann Coloproctol.
2023 Dec;39(6):526-530. 10.3393/ac.2022.00458.0065.
Robotic natural orifice specimen extraction surgery (NOSES) for anterior resection
- Pham TD
1,2,3,4 - Larach T1
- Othman B3
- Rajkomar A3
- Heriot AG1,2,3,4
- Warrier SK1,3,4,5
- Smart P3
- Affiliations
-
- 1Department of Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
- 2Department of Cancer Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
- 3General Surgery and Gastroenterology Clinical Institute, Epworth HealthCare, Melbourne, Victoria, Australia
- 4Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia
- 5Department of Surgery, Monash University, Melbourne, Victoria, Australia
- KMID: 2549567
- DOI: http://doi.org/10.3393/ac.2022.00458.0065
Abstract
- Minimally invasive colorectal surgery is currently well-accepted, with open techniques being reserved for very difficult cases. Laparoscopic colectomy has been proven to have lower mortality, complication, and ostomy rates; a shorter median length of stay; and lower overall costs when compared to its open counterpart. This trend is seen in both benign and malignant indications. Natural orifice specimen extraction surgery (NOSES) in colorectal surgery was first described in the early 1990s. Three recent meta-analyses comparing transabdominal extraction against NOSES concluded that NOSES was superior in terms of overall postoperative complications, recovery of gastrointestinal function, postoperative pain, aesthetics, and hospital stay. However, NOSES was associated with a longer operative time. Herein, we present our technique of robotic NOSES anterior resection using the da Vinci Xi platform in diverticular disease and sigmoid colon cancers.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Natural Orifice Specimen Extraction (NOSE) with SingleStapling Anastomosis for Left Colon Cancer
- Simultaneous laparoscopic liver metastasectomy and intersphincteric resection for neuroendocrine tumor of the rectum by natural orifice specimen extraction surgery
- Laparoscopic Gastrectomy and Transvaginal Specimen Extraction in a Morbidly Obese Patient with Gastric Cancer
- Natural Orifice Transluminal Endoscopic Surgery and Upper Gastrointestinal Tract
- Novel method of laparoendoscopic single-site and natural orifice specimen extraction for live donor nephrectomy: single-port laparoscopic donor nephrectomy and transvaginal graft extraction
