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Öğe International consensus on natural orifice specimen extraction surgery (NOSES) for colorectal cancer(Oxford Univ Press, 2019) Guan, Xu; Liu, Zheng; Longo, Antonio; Cai, Jian-Chun; Tzu-Liang, William; Chen, Lu-Chuan; Chen, Ho-KyungIn recent years, natural orifice specimen extraction surgery (NOSES) in the treatment of colorectal cancer has attracted widespread attention. The potential benefits of NOSES including reduction in postoperative pain and wound complications, less use of postoperative analgesic, faster recovery of bowel function, shorter length of hospital stay, better cosmetic and psychological effect have been described in colorectal surgery. Despite significant decrease in surgical trauma of NOSES have been observed, the potential pitfalls of this technique have been demonstrated. Particularly, several issues including bacteriological concerns, oncological outcomes and patient selection are raised with this new technique. Therefore, it is urgent and necessary to reach a consensus as an industry guideline to standardize the implementation of NOSES in colorectal surgery. After three rounds of discussion by all members of the International Alliance of NOSES, the consensus is finally completed, which is also of great significance to the long-term progress of NOSES worldwide.Öğe International consensus on natural orifice specimen extraction surgery (NOSES) for gastric cancer (2019)(Oxford Univ Press, 2020) Guan, Xu; Liu, Zheng; Parvaiz, Amjad; Longo, Antonio; Saklani, Avanish; Shafik, Ali A.; Cai, Jian-ChunAt present, natural orifice specimen extraction surgery (NOSES) has attracted more and more attention worldwide, because of its great advantages including minimal cutaneous trauma and post-operative pain, fast post-operative recovery, short hospital stay, and positive psychological impact. However, NOSES for the treatment of gastric cancer (GC) is still in its infancy, and there is great potential to improve its theoretical system and clinical practice. Especially, several key points including oncological outcomes, bacteriological concerns, indication selection, and standardized surgical procedures are raised with this innovative technique. Therefore, it is necessary to achieve an international consensus to regulate the implementation of GC-NOSES, which is of great significance for healthy and orderly development of NOSES worldwide.