Laparoscopic Right Colon Resection With Transvaginal Extraction: A Systematic Review of 90 Cases

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dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorYagci, Mehmet A.
dc.date.accessioned2024-08-04T20:41:13Z
dc.date.available2024-08-04T20:41:13Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground:Natural orifice specimen extraction is a laparoscopic technique that reduces the procedure's invasiveness.Objective:We aimed to examine all the available data for the transvaginal extraction of laparoscopic right-sided colonic resections.Data Sources:A systematic search was conducted using PubMed/MEDLINE, Cochrane, Google Scholar, EBSCO, clinicaltrials.gov, and congress abstract databases.Study Selection:All case-control series, case series, and case reports were included, irrespective of age, region, race, obesity, comorbidities, or history of previous surgery. No restrictions were made in terms of language, country, or journal.Main Outcome Measures:Patient selection criteria and results of the cumulative data.Results:The search identified 10 studies including 90 cases. Most patients were elderly (mean, 65.9; range, 29 to 87 y) and had comorbid diseases (96%). 33.8% had a history of abdominopelvic surgery. The mean body mass index was 25.7 kg/m(2) (range, 18 to 50 kg/m(2)). Most patients (83%) had malign or premalign (14%) diseases and required regular or extended right hemicolectomies (99%). The mean operating time and blood loss ranges were 193 (140 to 471) minutes and 62.4 (0 to 300) mL, respectively. Overall, morbidities were seen in 18 patients (20%), and 3 of them were related to the transvaginal extraction. There were no abdominal wound related early or late complications. When compared with laparoscopic colon resections with transabdominal extraction, the procedure seems to result in decreased postoperative pain and length of hospital stay.Limitations:There are a limited number of comparative studies and an absence of randomized studies.Conclusions:Laparoscopic resection and transvaginal specimen extraction is a promising technique for some right-sided colon pathologies. For patient selection, an accessible vaginal port (patient acceptance and a vagina that is not narrow) and an en-mass lesion of 8 cm were necessary. Malignancy, previous abdominopelvic surgery, obesity, and old age were not considered as contraindications.en_US
dc.identifier.doi10.1097/SLE.0000000000000124
dc.identifier.endpage391en_US
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue5en_US
dc.identifier.pmid25730741en_US
dc.identifier.scopus2-s2.0-84942472467en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage384en_US
dc.identifier.urihttps://doi.org/10.1097/SLE.0000000000000124
dc.identifier.urihttps://hdl.handle.net/11616/96989
dc.identifier.volume25en_US
dc.identifier.wosWOS:000363301400002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectnatural orificeen_US
dc.subjectsurgeryen_US
dc.subjecthemicolectomyen_US
dc.subjectspecimen extractionen_US
dc.subjectcolonen_US
dc.subjecttransvaginalen_US
dc.titleLaparoscopic Right Colon Resection With Transvaginal Extraction: A Systematic Review of 90 Casesen_US
dc.typeReview Articleen_US

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