Application of NOSES in colorectal cancer surgery

doi:10.3877/cma.j.issn.1674-6899.2019.02.011

Abstract

Abstract:

Objective

To analyze the natural orifice specimen extraction surgery′s safety and feasibility in colorectal tumor surgery.

Methods

A retrospective analysis of 10 patients with natural orifice specimen extraction surgery (NOSES)performed by Northern Jiangsu Province Hospital from Jul. 2016 to Apr. 2018.

Results

Ten patients completed the natural orifice specimen extraction surgery successfully, and all patients avoided auxiliary incision or sampling through abdominal auxiliary incision. The average operation time was (161±42.4) min, the average intraoperative bleeding volume was (29±27.2) ml, the average number of lymph nodes was (12.3±3.2), the average postoperative exhaust time was (2.8±0.9)d, and the average postoperative discharge time was (11±2.3)d. Anastomotic fistula appeared in one patient, and recovered after ileostomy.

Conclusions

In colorectal cancer surgery, the NOSES technology was feasible and safe.

Key words: Natural orifice transluminal, Colorectal cancer, No auxiliary incision

Jie Wang, Dong Tang, Wei Wang, Liuhua Wang, Qi Zhang, Xiaoqing Wu, Jiaming Xu, Daorong Wang. Application of NOSES in colorectal cancer surgery[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2019, 12(02): 107-110.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2019.02.011

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2019/V12/I02/107

Figures/Tables 12

References 18

1	Wolthuis AM, Overstraeten ADBV, André d′hoore. Laparoscopic natural orifice specimen extraction-colectomy: a systematic review[J]. World Journal of Gastroenterology, 2014, 20(36)：12981-12992.
2	Kalloo AN, Singh VK, Jagannath SB, et al. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity[J]. Gastrointestinal Endoscopy, 2004, 60(1)：114-117.
3	Sylla P, Rattner DW, Delgado S, et al. NOTES teansanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance[J]．Surg Endosc，2010，24(5)：1205-1210.
4	王锡山，崔滨滨，刘正，等. 经阴道入路直肠肿瘤切除术二例[J]. 中华胃肠外科杂志，2011, 14(5)：325-326.
5	Musquera M, Peri L, Izquierdo L, et al. Is LESS/NOTES surgery the new gold standard of minimally invasive surgery[J]. Archivos Espa？oles De Urología, 2013, 66(1)：161-167.
6	朱渝军，陈刚，胡佳，等. 腹腔镜与开腹手术治疗结直肠癌的临床疗效及术后并发症的比较[J]. 实用癌症杂志，2016，31(1)：103-106.
7	王锡山. 结直肠肿瘤类-NOTES术之现状及展望[J/CD]. 中华结直肠疾病电子杂志，2015，4(4)：11-16.
8	王锡山. 结直肠肿瘤治疗的微创和功能外科理念在实践与探索中前行[J/CD]. 中华结直肠疾病电子杂志，2013, 2(3)：9-11.
9	Xingmao Z, Haitao Z, Jianwei L, et al. Totally laparoscopic resection with natural orifice specimen extraction (NOSE) has more advantages comparing with laparoscopic-assisted resection for selected patients with sigmoid colon or rectal cancer[J]. International Journal of Colorectal Disease, 2014, 29(9)：1119-1124.
10	李杰，李禹呈，郑阳春，等，腹腔镜下结直肠癌体内切除标本经直肠拖出手术(NOSES)的无菌和无瘤操作技巧[J/CD]. 中华腔镜外科杂志(电子版)，2018，11(6)：360-363.
11	段吉清，所剑，孙东辉. 两步翻出法在低位直肠癌NOSES中的五例应用[J/CD]. 中华腔镜外科杂志(电子版)，2018，11(4)：247-247.
12	关旭，王贵玉，周主青，等. 79家医院718例结直肠肿瘤经自然腔道取标本手术回顾性研究[J/CD]. 中华结直肠疾病电子杂志，2017, 6(6)：469-477.
13	Saurabh B, Chang SC, Ke TW, et al. Natural orifice specimen extraction with single stapling colorectal anastomosis for laparoscopic anterior resection：feasibility, outcomes, and technical considerations[J]. Diseases of the Colon & Rectum, 2017, 60(1)：43-45.
14	Ersin G, Aydin A, Cuneyt K, et al. Two cases of laparoscopic total colectomy with natural orifice specimen extraction and review of the literature[J]. Videosurgery and Other Miniinvasive Techniques, 2017, 12(3)：291-296.
15	Jr MEF, Russek K. Natural orifice specimen extraction in laparoscopic colorectal surgery: transanal and transvaginal approaches[J]. Techniques in Coloproctology, 2013, 17(1)：63-67.
16	Denost Q, Adam JP, Pontallier A, et al. Laparoscopic total mesorectal excision with coloanal anastomosis for rectal cancer[J]. Annals of Surgery, 2015, 261(1)：138-143.
17	Wolthuis AM, Fieuws S, Van DBA, et al. Randomized clinical trial of laparoscopic colectomy with or without natural-orifice specimen extraction[J]. British Journal of Surgery, 2015, 102(6)：630-637.
18	Cai JC, Hong XY. Laparoscopic-assisted natural orifice specimen extraction radical descending colectomy using a cai tube[J]. World Journal of Surgery, 2016, 40(11)：2803-2807.

[1]	Zubang Zhou, Fei Wang, Wenjuan Ma, Runli Shi, Zirong Jiang, Jinhui Xie. Ultrasound-guided microwave ablation combined with transcatheter arterial chemoembolization for colorectal cancer liver metastasis: efficacy and influencing factors [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2021, 18(01): 97-105.
[2]	Yuchun Luo, Yulian Luo, Yuanyuan Xu, Qingzhu Tang. Diosgenin inhibiting the proliferation, migration and invasion of colorectal cancer cells through miR-145-5p/KLF5/HIF-1α axis [J]. Chinese Archives of General Surgery(Electronic Edition), 2021, 15(03): 178-184.
[3]	Yang Liu, Xiangcai Meng, Yimin Wang, Yifeng Lyu. Effects of sulforaphane on proliferation, invasion and Notch pathway of colorectal cancer SW480 cells [J]. Chinese Archives of General Surgery(Electronic Edition), 2020, 14(06): 434-438.
[4]	Tianwen Chen, Hexin Wen, Mulin Liu. Value of preoperative prognostic nutrition index in postoperative survival of colorectal cancer after radical resection [J]. Chinese Archives of General Surgery(Electronic Edition), 2020, 14(04): 261-265.
[5]	Juan Liu, Yuanyue Xiao, Qianqing Wang, Zhenkun Guan, Xiaoming Guan. A new approach for pelvic organ prolapse: robot-assisted transvaginal laparoscopic sacrocolpopexy [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(03): 168-171.
[6]	Yiping Zhu, Mengsong Sui, Zhenzhen Zheng, Mei Ji, Yanli Zhang, Jing Sun. The learning curve of transvaginal natural orifice transluminal endoscopic surgery of ovarian cystectomy [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2021, 14(02): 85-89.
[7]	Professional Committee of Natural Orifice Transluminal Endoscopic Surgery, Colorectal Cancer, Committee of Chinese Medical Doctor Association.. Preliminary expert consensus of natural orifice transluminal endoscopic surgery (NOTES) [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(04): 337-342.
[8]	Xuan Zhang, Tao Wu, Jinsha Li, Guoyu Li, Quan Li, Chao Dong, Ting Li, Renfang Yang, Yunfeng Li. Neoadjuvant immunotherapy: the "light of dawn" in patients with dMMR/MSI-H locally advanced colorectal cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(04): 404-408.
[9]	Bo Gao, Zhuomiaoyu Chen, Qiusheng Wang. The mining and verification of colorectal cancer liver metastasis-related genes based on weighted gene coexpression analysis [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(04): 363-369.
[10]	Mingdong Li, Hongqiang Xie, Tao Tao, Xiao Zhu. Construction and evaluation of nomogram prediction model for postoperative intestinal obstruction in patients with colorectal cancer [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2021, 11(04): 158-163.
[11]	Guanglin Wang, Guangjie Liu, Xuhua Hu, Feifei Wang, Jianfeng Zhang, Shaoqing Fan, Zesong Meng, Baokun Li, Juan Zhang, Guiying Wang. Strategies for management of colorectal cancer patients during COVID-19 epidemic [J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(06): 401-406.
[12]	Ke An, Yanzhao Wang, Zilong Wang, Fuming. Lei. Characteristics of early-onset colorectal cancer and comparisons between China and the West [J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(02): 139-143.
[13]	Hongyi Wang. Progress in research of tumor markers in colorectal cancer [J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(01): 47-51.
[14]	Zhihao Yin, Zhiliang Zhang, Jiawu Xiao, Qi Fan, Dehai Xiong. Progress in understanding the role of tumor stem cells in drug resistance and metastasis in colorectal cancer [J]. Chinese Journal of Clinicians(Electronic Edition), 2020, 14(09): 730-734.
[15]	Xiaojing Li, Xiaozhong Gao, Yanliu Chu, Jianming Sun, feng Liu, Junwei Song. Clinical study on the timing of endoscopic therapy for colorectal cancer combining with high-risk adenoma [J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2021, 08(01): 13-17.

Please choose a citation manager

Content to export