Total 102 natural orifice specimen extraction following laparoscopic colorectal resections

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dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authorwosidSumer, Fatih/F-8042-2017
dc.contributor.authorGundogan, Ersin
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorGundogan, Gokcen Alinak
dc.contributor.authorSumer, Fatih
dc.date.accessioned2024-08-04T20:53:06Z
dc.date.available2024-08-04T20:53:06Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractNatural orifice surgery has been used with increasing frequency in colon surgeries since the early 2000's. Our aim was to examine the patients retrospectively who underwent Natural Orifice Specimen Excision (NOSE) following laparoscopic colorectal resection. A total of 102 patients 2013 and 2018 were evaluated. The demographic characteristics, intra-operative and post-operative findings, pathology results, pain, incontinence, sexual dysfunction and cosmetic scores were examined. Mean age was 57.0 +/- 14 and 52 of them (51%) were female. Specimen extraction was transanal in 72 (70%) (eventration technique in 10 patients) and transvaginal in the remaining 30 patients. The mean operating time was 272 +/- 108 (median 240, range 120-540) minutes, and the mean blood loss was 92 +/- 87 ml (median 54, range 5-400). The mean hospital stay was 7.0 +/- 4.7 days (median 6, range 3-30). The main pain scores (visual analog score) on days 1-2-3 were 3.9 +/- 2.0 (median 4, range 1-9), 3.1 +/- 1.7 (median 3, range 0-8), 1.9 +/- 1.5 (median 1.5, range 0-7), respectively. The mean cosmetic scores were 9.1 +/- 1.5 (median 10, range 3-10). The median Wexner Incontinence score was 0 (0-9). Hospital mortality was 1% and unrelated with the NOSE. The 5-year overall survival and disease-free survival rates for cancer patients were 77.2-63.3%, respectively. NOSE has advantages in laparoscopic colorectal resections. It increases patient comfort and decreases incision related complications.en_US
dc.identifier.doi10.1007/s13304-022-01412-4
dc.identifier.endpage203en_US
dc.identifier.issn2038-131X
dc.identifier.issn2038-3312
dc.identifier.issue1en_US
dc.identifier.pmid36319790en_US
dc.identifier.scopus2-s2.0-85141059190en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage197en_US
dc.identifier.urihttps://doi.org/10.1007/s13304-022-01412-4
dc.identifier.urihttps://hdl.handle.net/11616/100971
dc.identifier.volume75en_US
dc.identifier.wosWOS:000877767200001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Italia Srlen_US
dc.relation.ispartofUpdates in Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTransvaginalen_US
dc.subjectTransanalen_US
dc.subjectNatural orifice surgeryen_US
dc.subjectLaparoscopic colorectalen_US
dc.subjectColon canceren_US
dc.subjectMinimally invasive surgeryen_US
dc.titleTotal 102 natural orifice specimen extraction following laparoscopic colorectal resectionsen_US
dc.typeArticleen_US

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