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Techniques in Coloproctology
Published in: Techniques in Coloproctology 6/2015

01-06-2015 | Technical Note

A new technique of totally laparoscopic resection with natural orifice specimen extraction (NOSE) for large rectal adenoma

Authors: X.-M. Zhang, Z. Wang, H.-R. Hou, Z.-X. Zhou

Published in: Techniques in Coloproctology | Issue 6/2015

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Abstract

There is no consensus about the best technique to use for the surgical treatment for large rectal adenomas. The advent of laparoscopic surgery has led to the development of several new methods for the treatment of gastrointestinal tumors. This study was designed to introduce an innovative technique of totally laparoscopic resection with natural orifice specimen extraction (NOSE) for large rectal adenomas and to assess the feasibility and safety of the technique. Between February 2011 and January 2014, we performed totally laparoscopic resection with NOSE on 18 patients with a large rectal adenoma. This new technique was successful in all 18 patients. The average size of the adenoma was 4.2 cm. Mean operation time was 108.4 min, and mean intraoperative blood loss was 36.6 ml. The mean time to passing of the first flatus was 2.3 days, and the mean postoperative hospital stay was 7.2 days. Only one patient needed analgesics after the operation. All patients were able to walk within the first 2 days. There were no cases of morbidity and recurrence. Totally laparoscopic resection with NOSE appears to be suitable for selected patients with a large adenoma located in mid- or low rectum.
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Metadata
Title
A new technique of totally laparoscopic resection with natural orifice specimen extraction (NOSE) for large rectal adenoma
Authors
X.-M. Zhang
Z. Wang
H.-R. Hou
Z.-X. Zhou
Publication date
01-06-2015
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 6/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-015-1300-y

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