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Success rate of natural orifice specimen extraction after laparoscopic colorectal resections

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dc.contributor.author Karagul, S.
dc.contributor.author Kayaalp, C.
dc.contributor.author Sumer, F.
dc.contributor.author Ertugrul, I.
dc.contributor.author Kirmizi, S.
dc.contributor.author Tardu, A.
dc.contributor.author Yagci, M. A.
dc.date.accessioned 2019-08-20T11:51:10Z
dc.date.available 2019-08-20T11:51:10Z
dc.date.issued 2017
dc.identifier.citation Karagul, S. Kayaalp, C . Sumer, F . Ertugrul, I. Kirmizi, S . Tardu, A. Yagci, MA . (2017). Success rate of natural orifice specimen extraction after laparoscopic colorectal resections.Cilt:21. Sayı:4. 295-300 ss. tr_TR
dc.identifier.uri http://hdl.handle.net/11616/13508
dc.description.abstract Purpose To date, no data have been available to inform which cases are appropriate for natural orifice specimen extraction (NOSE) after laparoscopic colorectal resections (LCRRs). Our aim was to evaluate the success rate and the factors affecting the failure in patients who were scheduled for NOSE after LCRRs. Methods Seventy-two consecutive cases that were intended for NOSE after LCRR were enrolled. The transanal route was always chosen as the first option, and when it failed, the transvaginal route was tried in female patients. If both failed, the specimen was judged as unsuitable for NOSE and removed through an abdominal wall incision. Demographic data, surgical indications, resection localization, implemented procedures, incision sites, specimen extraction methods, specimen sizes, and failures of NOSE were recorded. Results A total of 349 colorectal resections (240 open and 109 laparoscopic) in a 3-year period were examined. The subset of 72 consecutive patients who met the criteria were analyzed. Five cases required a conversion to open surgery during resections. In the remaining 67 patients, NOSE after LCRR was successful in 49 cases (73.1%) but failed in 18 (26.9%). Specimens were extracted from transanal and transvaginal routes in 37 (75.5%) and 12 (24.5%) patients, respectively. The failure rate of NOSE after LCRR was higher in males, in colonic lesions, and in large-sized tumors. The mean sizes of transanal and transvaginal extracted specimens were 3.5 +/- 3.1 and 5.4 +/- 1.4 cm, respectively (p < 0.05). The mean size of the tumors in the failed cases was 6.5 +/- 4.2 cm (p < 0.05). Conclusions Approximately 2/3 of the unselected LCRRs were suitable for NOSE. The success rate increased with female gender, small-sized tumors, and rectal resections. tr_TR
dc.language.iso eng tr_TR
dc.publisher Sprınger-verlag ıtalıa srl, vıa decembrıo, 28, mılan, 20137, ıtaly tr_TR
dc.relation.isversionof 10.1007/s10151-017-1611-2 tr_TR
dc.rights info:eu-repo/semantics/openAccess tr_TR
dc.subject Surgıcal sıte ınfectıon tr_TR
dc.subject colectomy tr_TR
dc.subject surgery tr_TR
dc.subject nose tr_TR
dc.subject metaanalysıs tr_TR
dc.subject retrıeval tr_TR
dc.subject hernıa tr_TR
dc.title Success rate of natural orifice specimen extraction after laparoscopic colorectal resections tr_TR
dc.type article tr_TR
dc.relation.journal Technıques ın coloproctology tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.identifier.volume 21 tr_TR
dc.identifier.issue 4 tr_TR
dc.identifier.startpage 295 tr_TR
dc.identifier.endpage 300 tr_TR


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