Cargando…

Natural orifice transluminal endoscopic surgery for colorectal cancer

BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) has theoretical advantages over other approaches. METHODS: This was a prospective cohort study of colorectal cancers operated on by NOTES (transanally for rectal tumours, transvaginally for sigmoid tumours) between December 2013 and...

Descripción completa

Detalles Bibliográficos
Autores principales: Hiep, P. N., Thien, H. H., Vu, P. A., Thanh, P. H., Xuan, N. T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989963/
https://www.ncbi.nlm.nih.gov/pubmed/29951602
http://dx.doi.org/10.1002/bjs5.4
_version_ 1783329544992718848
author Hiep, P. N.
Thien, H. H.
Vu, P. A.
Thanh, P. H.
Xuan, N. T.
author_facet Hiep, P. N.
Thien, H. H.
Vu, P. A.
Thanh, P. H.
Xuan, N. T.
author_sort Hiep, P. N.
collection PubMed
description BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) has theoretical advantages over other approaches. METHODS: This was a prospective cohort study of colorectal cancers operated on by NOTES (transanally for rectal tumours, transvaginally for sigmoid tumours) between December 2013 and December 2015, with a minimum follow‐up of 1 year. Eligibility criteria included ASA fitness grade I–III, BMI below 25 kg/m(2) and TNM stage T3 N0 M0. Exclusion criteria included pregnancy or distant metastasis. The anastomosis was either handsewn or performed mechanically. RESULTS: Sixteen patients were operated on by a transanal and four by a transvaginal approach. There were ten men and ten women, with a mean(s.d.) age of 55·6(12·1) years. Mean BMI was 22·4(2·6) kg/m(2). Four anterior, 11 low anterior and five intersphincteric resections were performed for 16 rectal and four low sigmoid tumours. The mean duration of surgery was 258(11) min. No conversion to laparotomy was needed, and there were no deaths. Five patients required additional ports, for intraoperative bleeding (1), suture of an intraoperative urethral injury with covering ileostomy (1) and difficulty in dissection (3). One patient had an anastomotic leak requiring transanal closure and ileostomy on day 7. Both ileostomies were closed after 2 months. The mean hospital stay was 6·4(1·8) days. All resections were R0. CONCLUSION: In carefully selected patients NOTES for colorectal cancer resection was feasible and effective.
format Online
Article
Text
id pubmed-5989963
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher John Wiley & Sons, Ltd
record_format MEDLINE/PubMed
spelling pubmed-59899632018-06-27 Natural orifice transluminal endoscopic surgery for colorectal cancer Hiep, P. N. Thien, H. H. Vu, P. A. Thanh, P. H. Xuan, N. T. BJS Open Original Articles BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) has theoretical advantages over other approaches. METHODS: This was a prospective cohort study of colorectal cancers operated on by NOTES (transanally for rectal tumours, transvaginally for sigmoid tumours) between December 2013 and December 2015, with a minimum follow‐up of 1 year. Eligibility criteria included ASA fitness grade I–III, BMI below 25 kg/m(2) and TNM stage T3 N0 M0. Exclusion criteria included pregnancy or distant metastasis. The anastomosis was either handsewn or performed mechanically. RESULTS: Sixteen patients were operated on by a transanal and four by a transvaginal approach. There were ten men and ten women, with a mean(s.d.) age of 55·6(12·1) years. Mean BMI was 22·4(2·6) kg/m(2). Four anterior, 11 low anterior and five intersphincteric resections were performed for 16 rectal and four low sigmoid tumours. The mean duration of surgery was 258(11) min. No conversion to laparotomy was needed, and there were no deaths. Five patients required additional ports, for intraoperative bleeding (1), suture of an intraoperative urethral injury with covering ileostomy (1) and difficulty in dissection (3). One patient had an anastomotic leak requiring transanal closure and ileostomy on day 7. Both ileostomies were closed after 2 months. The mean hospital stay was 6·4(1·8) days. All resections were R0. CONCLUSION: In carefully selected patients NOTES for colorectal cancer resection was feasible and effective. John Wiley & Sons, Ltd 2017-05-24 /pmc/articles/PMC5989963/ /pubmed/29951602 http://dx.doi.org/10.1002/bjs5.4 Text en © 2017 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of BJS Society Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Hiep, P. N.
Thien, H. H.
Vu, P. A.
Thanh, P. H.
Xuan, N. T.
Natural orifice transluminal endoscopic surgery for colorectal cancer
title Natural orifice transluminal endoscopic surgery for colorectal cancer
title_full Natural orifice transluminal endoscopic surgery for colorectal cancer
title_fullStr Natural orifice transluminal endoscopic surgery for colorectal cancer
title_full_unstemmed Natural orifice transluminal endoscopic surgery for colorectal cancer
title_short Natural orifice transluminal endoscopic surgery for colorectal cancer
title_sort natural orifice transluminal endoscopic surgery for colorectal cancer
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989963/
https://www.ncbi.nlm.nih.gov/pubmed/29951602
http://dx.doi.org/10.1002/bjs5.4
work_keys_str_mv AT hieppn naturalorificetransluminalendoscopicsurgeryforcolorectalcancer
AT thienhh naturalorificetransluminalendoscopicsurgeryforcolorectalcancer
AT vupa naturalorificetransluminalendoscopicsurgeryforcolorectalcancer
AT thanhph naturalorificetransluminalendoscopicsurgeryforcolorectalcancer
AT xuannt naturalorificetransluminalendoscopicsurgeryforcolorectalcancer