Transvaginal Natural Orifice Specimen Extraction Following Laparoscopic Combined D3 Right Hemicolectomy and Liver Resection

Seow‐En, Isaac; Koh, Ye‐Xin; Tan, Ek Khoon

doi:10.1097/dcr.0000000000002440

Cited by 5 publications

(3 citation statements)

References 11 publications

(13 reference statements)

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“…A 2016 review of TVSE by Kallidonis et al [ 40 ] included studies on TVSE for radical nephrectomies, donor nephrectomies, appendicectomies, cholecystectomies, and distal pancreatectomies, with several studies describing surgical dissection and tissue mobilisation via the vagina prior to transvaginal extraction. A single case of TVSE following combined right hemicolectomy for caecal adenocarcinoma with concomitant liver metastasectomy has also been reported [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Transvaginal versus transabdominal specimen extraction in minimally invasive surgery: a systematic review and meta-analysis

Chang,

Xu,

Zhao

et al. 2024

Langenbecks Arch Surg

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Aim Natural orifice specimen extraction (NOSE) is an alternative to conventional transabdominal retrieval. We aimed to compare outcomes following transvaginal specimen extraction (TVSE) and transabdominal specimen extraction (TASE) in minimally invasive abdominal surgery. Methods An electronic database search of PubMed, Embase and CENTRAL was performed from inception until March 2023. Comparative studies evaluating TVSE versus TASE in adult female patients were included. Studies involving transanal NOSE, endoluminal surgery, or TVSE with concomitant hysterectomy were excluded. Weighted mean differences (WMD) and odds ratio were estimated for continuous and dichotomous outcomes respectively. Primary outcomes were postoperative day 1 (POD1) pain and length of stay (LOS). Secondary outcomes were operative time, rescue analgesia, morbidity, and cosmesis. A review of sexual, oncological, and technical outcomes was performed. Results Thirteen studies (2 randomised trials, 11 retrospective cohort studies), involving 1094 patients (TASE 583, TVSE 511), were included in the analysis. Seven studies involved colorectal disease and six assessed gynaecological conditions. TVSE resulted in significantly decreased POD1 pain (WMD 1.08, 95% CI: 0.49, 1.68) and shorter LOS (WMD 1.18 days, 95% CI: 0.14, 2.22), compared to TASE. Operative time was similar between both groups, with fewer patients requiring postoperative rescue analgesia with TVSE. Overall morbidity rates, as well as both wound-related and non-wound related complication rates were better with TVSE, while anastomotic morbidity rates were comparable. Cosmetic scores were higher with TVSE. TVSE did not result in worse sexual or oncological outcomes. Conclusion TVSE may be feasible and beneficial compared to TASE when performed by proficient laparoscopic operators, using appropriate selection criteria. Continued evaluation with prospective studies is warranted.

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Section: Discussionmentioning

confidence: 99%

Transvaginal versus transabdominal specimen extraction in minimally invasive surgery: a systematic review and meta-analysis

Chang,

Xu,

Zhao

et al. 2024

Langenbecks Arch Surg

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“…Patient A [ 26 ] and B [ 27 ] were previously described as individual case reports with accompanying step-by-step operative video vignettes.…”

Section: Operative Techniquementioning

confidence: 99%

Simultaneous laparoscopic colectomy and liver metastasectomy with natural orifice specimen extraction: A proof-of-concept study

Seow-En,

Koh,

Tan

et al. 2024

Heliyon

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“…We recently published our report and video of transvaginal NOSE following D3 right hemicolectomy for cecal adenocarcinoma with liver segment VII metastasectomy. 6 Gundogan et al 7 demonstrated the first case of transanal specimen extraction after combined laparoscopic anterior resection and liver metastasectomy.…”

mentioning

confidence: 99%

Transanal Natural Orifice Specimen Extraction Following Combined Laparoscopic Anterior Resection and Liver Resection

Seow‐En

Koh

Tan

2023

Diseases of the Colon &Amp; Rectum

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Transvaginal Natural Orifice Specimen Extraction Following Laparoscopic Combined D3 Right Hemicolectomy and Liver Resection

Cited by 5 publications

References 11 publications

Transvaginal versus transabdominal specimen extraction in minimally invasive surgery: a systematic review and meta-analysis

Transvaginal versus transabdominal specimen extraction in minimally invasive surgery: a systematic review and meta-analysis

Simultaneous laparoscopic colectomy and liver metastasectomy with natural orifice specimen extraction: A proof-of-concept study

Transanal Natural Orifice Specimen Extraction Following Combined Laparoscopic Anterior Resection and Liver Resection

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