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Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients

OBJECTIVE: To evaluate the feasibility, safety, and short-term outcomes of middle rectal resection followed by transanal specimen extraction. METHODS: Forty-four patients with small mid-rectal tumors underwent laparoscopic rectal resection followed by transanal specimen extraction. RESULTS: The proc...

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Autores principales: Muhammad, Shan, Gao, YiBo, Guan, Xu, QingChao, Tang, Fei, Shao, Wang, Guiyu, Chen, Yinggang, Liu, Zheng, Jiang, Zheng, Kaur, Kavanjit, Tatiana, Kamchedalova, Ul Ain, Qurat, Wang, Xishan, He, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9712411/
https://www.ncbi.nlm.nih.gov/pubmed/36440806
http://dx.doi.org/10.1177/03000605221134472
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author Muhammad, Shan
Gao, YiBo
Guan, Xu
QingChao, Tang
Fei, Shao
Wang, Guiyu
Chen, Yinggang
Liu, Zheng
Jiang, Zheng
Kaur, Kavanjit
Tatiana, Kamchedalova
Ul Ain, Qurat
Wang, Xishan
He, Jie
author_facet Muhammad, Shan
Gao, YiBo
Guan, Xu
QingChao, Tang
Fei, Shao
Wang, Guiyu
Chen, Yinggang
Liu, Zheng
Jiang, Zheng
Kaur, Kavanjit
Tatiana, Kamchedalova
Ul Ain, Qurat
Wang, Xishan
He, Jie
author_sort Muhammad, Shan
collection PubMed
description OBJECTIVE: To evaluate the feasibility, safety, and short-term outcomes of middle rectal resection followed by transanal specimen extraction. METHODS: Forty-four patients with small mid-rectal tumors underwent laparoscopic rectal resection followed by transanal specimen extraction. RESULTS: The procedure was successful in all patients without intraoperative conversion or additional access. The mean operation time was 182.7 minutes (range, 130–255 minutes), the mean blood loss was 26.5 mL (range, 5–120 mL), the mean postoperative exhaust time was 31.3 hours (range, 16–60 hours), and the mean length of hospital stay was 9.5 days (range, 8–19 days). One patient developed anastomotic leakage, which was treated by intravenous antibiotics and daily pelvic cavity flushes through the abdominal drainage tube. No infection-related complications or anal incontinence were observed. The mean tumor size was 2.1 cm (range, 1.6–3.2 cm), the mean number of harvested lymph nodes was 16.5 (range, 6–31), and the mean follow-up time was 8.5 months (range, 2–16 months). By the last follow-up, no signs of recurrence had been found in any patient. CONCLUSION: The combination of standard laparoscopic proctectomy and transanal specimen extraction could become a well-established strategy for selected patients.
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spelling pubmed-97124112022-12-02 Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients Muhammad, Shan Gao, YiBo Guan, Xu QingChao, Tang Fei, Shao Wang, Guiyu Chen, Yinggang Liu, Zheng Jiang, Zheng Kaur, Kavanjit Tatiana, Kamchedalova Ul Ain, Qurat Wang, Xishan He, Jie J Int Med Res Retrospective Clinical Research Report OBJECTIVE: To evaluate the feasibility, safety, and short-term outcomes of middle rectal resection followed by transanal specimen extraction. METHODS: Forty-four patients with small mid-rectal tumors underwent laparoscopic rectal resection followed by transanal specimen extraction. RESULTS: The procedure was successful in all patients without intraoperative conversion or additional access. The mean operation time was 182.7 minutes (range, 130–255 minutes), the mean blood loss was 26.5 mL (range, 5–120 mL), the mean postoperative exhaust time was 31.3 hours (range, 16–60 hours), and the mean length of hospital stay was 9.5 days (range, 8–19 days). One patient developed anastomotic leakage, which was treated by intravenous antibiotics and daily pelvic cavity flushes through the abdominal drainage tube. No infection-related complications or anal incontinence were observed. The mean tumor size was 2.1 cm (range, 1.6–3.2 cm), the mean number of harvested lymph nodes was 16.5 (range, 6–31), and the mean follow-up time was 8.5 months (range, 2–16 months). By the last follow-up, no signs of recurrence had been found in any patient. CONCLUSION: The combination of standard laparoscopic proctectomy and transanal specimen extraction could become a well-established strategy for selected patients. SAGE Publications 2022-11-28 /pmc/articles/PMC9712411/ /pubmed/36440806 http://dx.doi.org/10.1177/03000605221134472 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Muhammad, Shan
Gao, YiBo
Guan, Xu
QingChao, Tang
Fei, Shao
Wang, Guiyu
Chen, Yinggang
Liu, Zheng
Jiang, Zheng
Kaur, Kavanjit
Tatiana, Kamchedalova
Ul Ain, Qurat
Wang, Xishan
He, Jie
Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients
title Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients
title_full Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients
title_fullStr Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients
title_full_unstemmed Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients
title_short Laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: Retrospective single-center analysis and single-surgeon experience of selected patients
title_sort laparoscopic natural orifice specimen extraction, a minimally invasive surgical technique for mid-rectal cancers: retrospective single-center analysis and single-surgeon experience of selected patients
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9712411/
https://www.ncbi.nlm.nih.gov/pubmed/36440806
http://dx.doi.org/10.1177/03000605221134472
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