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Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report
BACKGROUND: Pure natural orifice transluminal endoscopic surgery (NOTES) for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges, including loss of triangulation, in-line orientation, and instrument collision. Transva...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7942039/ https://www.ncbi.nlm.nih.gov/pubmed/33728316 http://dx.doi.org/10.12998/wjcc.v9.i7.1714 |
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author | Song, Zi-Jia Shi, Yi-Qing Jiang, Yi-Mei Liu, Kun Li, You Wang, Chang-Gang Zhao, Ren |
author_facet | Song, Zi-Jia Shi, Yi-Qing Jiang, Yi-Mei Liu, Kun Li, You Wang, Chang-Gang Zhao, Ren |
author_sort | Song, Zi-Jia |
collection | PubMed |
description | BACKGROUND: Pure natural orifice transluminal endoscopic surgery (NOTES) for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges, including loss of triangulation, in-line orientation, and instrument collision. Transvaginal (v) NOTES, however, can overcome these technical challenges. We report a case of pure vNOTES right hemicolectomy for colon cancer, attached with surgical video. CASE SUMMARY: A 65-year-old woman with a 2-year history of intermittent diarrhea was diagnosed with ascending colon adenocarcinoma by colonoscopy and biopsy. Pure vNOTES right hemicolectomy was performed with complete mesocolic excision by well-experienced surgeons. The operative time was 200 min and the estimated blood loss was 30 mL. No intraoperative or postoperative complications occurred within 30 d after the surgery. The visual analog scale pain score on postoperative day 1 was 1 and dropped to 0 on postoperative days 2 and 3. The patient was discharged at postoperative day 6. The pathologic specimen had sufficient clear resection margins and 14 negative harvested lymph nodes. CONCLUSION: vNOTES right hemicolectomy, performed by well-experienced surgeons, overcomes the technical challenges of pure NOTES and may be feasible for colon cancer. |
format | Online Article Text |
id | pubmed-7942039 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-79420392021-03-15 Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report Song, Zi-Jia Shi, Yi-Qing Jiang, Yi-Mei Liu, Kun Li, You Wang, Chang-Gang Zhao, Ren World J Clin Cases Case Report BACKGROUND: Pure natural orifice transluminal endoscopic surgery (NOTES) for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges, including loss of triangulation, in-line orientation, and instrument collision. Transvaginal (v) NOTES, however, can overcome these technical challenges. We report a case of pure vNOTES right hemicolectomy for colon cancer, attached with surgical video. CASE SUMMARY: A 65-year-old woman with a 2-year history of intermittent diarrhea was diagnosed with ascending colon adenocarcinoma by colonoscopy and biopsy. Pure vNOTES right hemicolectomy was performed with complete mesocolic excision by well-experienced surgeons. The operative time was 200 min and the estimated blood loss was 30 mL. No intraoperative or postoperative complications occurred within 30 d after the surgery. The visual analog scale pain score on postoperative day 1 was 1 and dropped to 0 on postoperative days 2 and 3. The patient was discharged at postoperative day 6. The pathologic specimen had sufficient clear resection margins and 14 negative harvested lymph nodes. CONCLUSION: vNOTES right hemicolectomy, performed by well-experienced surgeons, overcomes the technical challenges of pure NOTES and may be feasible for colon cancer. Baishideng Publishing Group Inc 2021-03-06 2021-03-06 /pmc/articles/PMC7942039/ /pubmed/33728316 http://dx.doi.org/10.12998/wjcc.v9.i7.1714 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Song, Zi-Jia Shi, Yi-Qing Jiang, Yi-Mei Liu, Kun Li, You Wang, Chang-Gang Zhao, Ren Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report |
title | Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report |
title_full | Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report |
title_fullStr | Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report |
title_full_unstemmed | Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report |
title_short | Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report |
title_sort | pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7942039/ https://www.ncbi.nlm.nih.gov/pubmed/33728316 http://dx.doi.org/10.12998/wjcc.v9.i7.1714 |
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