Transcolonic natural orifice specimen extraction for laparoscopic radical right hemicolectomy on ascending colon cancer: one case report and literature review.

Content Provider	Europe PMC
Author	Ouyang, Qianhui Chen, Jie Wang, Wen Li, Xinhua Tan, Ting Xu, Shuai Wang, Xishan Peng, Jian
Copyright Year	2020
Abstract	This paper first reports the technical procedures by using colonoscope for transluminal specimen extraction after totally laparoscopic radical right hemicolectomy. The patient described herein was diagnosed with ascending colon cancer and underwent transcolonic natural orifice specimen extraction via colonoscope assistance without abdominal wall assisted incisions at Xiangya Hospital of Central South University in June 2019. The duration of surgery was 246 minutes, and the intraoperative blood loss was 20 mL. The specimen was removed through the left half of the transverse colon, splenic flexure of colon, descending colon, sigmoid colon, rectum and anus while preserving the tumor integrity. The patient recovered very well without any complications. After 6 months of follow-up, the patient was well healed, the anal exhaust and defecation functions of the patient were normal, and there was no pain reported in relation to the smaller abdominal trocar incisions. The aim of this study is to demonstrate that transcolonic natural orifice specimen extraction surgery (transcolonic NOSES) for laparoscopic radical right hemicolectomy on ascending colon cancer is feasible and this approach can achieve satisfactory clinical outcomes.
ISSN	2218676X
Journal	Translational Cancer Research
Volume Number	9
PubMed Central reference number	PMC8798416
Issue Number	5
PubMed reference number	35117736
e-ISSN	22196803
DOI	10.21037/tcr.2020.04.05
Language	English
Publisher	AME Publishing Company
Publisher Date	2020-05-01
Access Restriction	Open
Rights License	Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/. 2020 Translational Cancer Research. All rights reserved.
Subject Keyword	Ascending colon cancer transcolonic natural orifice specimen extraction surgery (transcolonic NOSES) colonoscopy radical right hemicolectomy case report
Content Type	Text
Resource Type	Article
Subject	Radiology, Nuclear Medicine and Imaging Cancer Research Oncology