Hybrid N.O.T.E.S Laparoscopic for Management Colorectal Cancer

Abstract

Aim: To evaluated the feasibility and initial outcomes application of laparoscopic rectocolectomy with specimen retrieval through natural orifices specimen extraction (N.O.S.E). Material and Method: Prospective, retrospective study in 20 patients were diagnosted sigmoid and rectal cancer and underwent laparoscopic anterior resection, low anterior resection with specimen retrieval through natural orifices specimen extraction (N.O.S.E) at Hue Central Hospital from 2011 to 2013. Results: All cases were successfully performed by laparoscopy. There was no complications during and after operation. Patients felt less pain, had early bowel movement and early discharge from hospital. Conclusions:Our initial experiences showed that laparoscopic surgery with specimen retrieval through natural orifices is feasible. It has full advantages of laparoscopic colectomy otherwise, it prevents an abdominal incision for specimen retrieval. Patient has less pain and short hospitalization. There will be a need for a larger cases study with longer follow-up time to further evaluate the outcome of this method, espencially in oncology. Keywords: colorectal laparoscopic surgery, specimen retrieval transanal.