Natural orifice total mesorectal excision using transanal port and laparoscopic assistance

Tuech, Jean‐Jacques; Bridoux, Valérie; Kianifard, B.; Schwarz, L.; Tsilividis, Basile; Huet, Emmanuel; Michot, F

doi:10.1016/j.ejso.2010.12.016

Cited by 89 publications

(70 citation statements)

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“…As in the present series, other reports4, 5, 6, 7, 8, 9, 10, 11 24, 25 have described the absence of intra‐abdominal infection.…”

Section: Discussionsupporting

confidence: 82%

“…Since the first transgastric liver biopsy by Kalloo and colleagues1, there has been continued interest in natural orifice transluminal endoscopic surgery (NOTES)2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14. For colorectal cancer, most operations have been hybrid procedures4, 5, 6, 7, 8, 9, 10 with few reports11, 12, 13, 14 confined to NOTES alone.…”

Section: Introductionmentioning

confidence: 99%

“…For colorectal cancer, most operations have been hybrid procedures4, 5, 6, 7, 8, 9, 10 with few reports11, 12, 13, 14 confined to NOTES alone. In colorectal cancer surgery, potential benefits of NOTES might include less pain, avoidance of incisional infection, shorter hospital stay, better cosmesis and high‐quality oncological resection by transanal total mesorectal excision (TME)4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14.…”

Section: Introductionmentioning

confidence: 99%

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Natural orifice transluminal endoscopic surgery for colorectal cancer

Thien

Thanh

et al. 2017

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BackgroundNatural orifice transluminal endoscopic surgery (NOTES) has theoretical advantages over other approaches.MethodsThis was a prospective cohort study of colorectal cancers operated on by NOTES (transanally for rectal tumours, transvaginally for sigmoid tumours) between December 2013 and December 2015, with a minimum follow‐up of 1 year. Eligibility criteria included ASA fitness grade I–III, BMI below 25 kg/m2 and TNM stage T3 N0 M0. Exclusion criteria included pregnancy or distant metastasis. The anastomosis was either handsewn or performed mechanically.ResultsSixteen patients were operated on by a transanal and four by a transvaginal approach. There were ten men and ten women, with a mean(s.d.) age of 55·6(12·1) years. Mean BMI was 22·4(2·6) kg/m2. Four anterior, 11 low anterior and five intersphincteric resections were performed for 16 rectal and four low sigmoid tumours. The mean duration of surgery was 258(11) min. No conversion to laparotomy was needed, and there were no deaths. Five patients required additional ports, for intraoperative bleeding (1), suture of an intraoperative urethral injury with covering ileostomy (1) and difficulty in dissection (3). One patient had an anastomotic leak requiring transanal closure and ileostomy on day 7. Both ileostomies were closed after 2 months. The mean hospital stay was 6·4(1·8) days. All resections were R0.ConclusionIn carefully selected patients NOTES for colorectal cancer resection was feasible and effective.

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“…As in the present series, other reports4, 5, 6, 7, 8, 9, 10, 11 24, 25 have described the absence of intra‐abdominal infection.…”

Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Natural orifice transluminal endoscopic surgery for colorectal cancer

Thien

Thanh

et al. 2017

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“…138,139 These studies have been shown to be promising in terms of ease of access, feasibility of the technique, postoperative course, lymph node retrieval and achieving clear margins. However, it is crucial to follow up the long-term outcomes to better evaluate the safety and efficacy of this approach in comparison to open or laparoscopic colorectal procedures.…”

Section: Future Directions Of Temmentioning

confidence: 99%

Transanal endoscopic microsurgery: a review

Heidary

Phang

Raval

et al. 2014

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“…The first colorectal resections in humans using a transanal approach were reported by Sylla et al [20] who used NOTES assisted by conventional laparoscopy and by Tuech et al [21] who used a transanal single-port device and abdominal single-port assistance.…”

Section: Introductionmentioning

confidence: 99%

Transanal total mesorectal excision: a pure NOTES approach for selected patients

et al. 2015

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Background The concept of natural orifice transluminal endoscopic surgery (NOTES) has stimulated the development of various ''incisionless'' procedures. One of the most popular is the transanal approach for rectal lesions. The aims of this study were to report how we standardized NOTES technique for transanal mesorectal excision without abdominal assistance, discuss the difficulties and surgical outcomes of this technique and report its feasibility in a small group of selected patients. Methods Three consecutive female patients underwent transanal NOTES rectal resection without transabdominal laparoscopic assistance for rectal lesions. Functional results were assessed with the Fecal Incontinence Quality of Life scale and the Wexner score.Results The technical steps are described in details and complemented with a video. All procedures were completed without transabdominal laparoscopic help. The mesorectal plane was entirely dissected without any disruption, and distal and circumferential margins were tumor-free. No major complications were observed. Functional results show a significant impairment after surgery with improvement at 6 months to levels near those of the preoperative period. Conclusions The performance and publication of NOTES procedures are subject to much discussion. Despite the small number of patients, this procedure appears feasible and can be accomplished maintaining fecal continence and respecting oncologic principles.

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Natural orifice total mesorectal excision using transanal port and laparoscopic assistance

Abstract: , et al.. Natural orifice total mesorectal excision using transanal port and laparoscopic assistance.

Cited by 89 publications

References 0 publications

Natural orifice transluminal endoscopic surgery for colorectal cancer

Natural orifice transluminal endoscopic surgery for colorectal cancer

Transanal endoscopic microsurgery: a review

Transanal total mesorectal excision: a pure NOTES approach for selected patients

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