Success rate of natural orifice specimen extraction after laparoscopic colorectal resections

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dc.authoridKaragul, Servet/0000-0003-1964-2516
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridKirmizi, Serdar/0000-0001-9385-1450
dc.authorwosidKaragul, Servet/K-3020-2015
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorKaragul, S.
dc.contributor.authorKayaalp, C.
dc.contributor.authorSumer, F.
dc.contributor.authorErtugrul, I.
dc.contributor.authorKirmizi, S.
dc.contributor.authorTardu, A.
dc.contributor.authorYagci, M. A.
dc.date.accessioned2024-08-04T20:43:06Z
dc.date.available2024-08-04T20:43:06Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose 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.en_US
dc.identifier.doi10.1007/s10151-017-1611-2
dc.identifier.endpage300en_US
dc.identifier.issn1123-6337
dc.identifier.issn1128-045X
dc.identifier.issue4en_US
dc.identifier.pmid28447167en_US
dc.identifier.scopus2-s2.0-85018241659en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage295en_US
dc.identifier.urihttps://doi.org/10.1007/s10151-017-1611-2
dc.identifier.urihttps://hdl.handle.net/11616/97788
dc.identifier.volume21en_US
dc.identifier.wosWOS:000401008000007en_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.ispartofTechniques in Coloproctologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectColorectal surgeryen_US
dc.subjectLaparoscopyen_US
dc.subjectMinimal invasive surgeryen_US
dc.subjectNatural orifice endoscopic surgeryen_US
dc.subjectMinimal invasive surgical proceduresen_US
dc.titleSuccess rate of natural orifice specimen extraction after laparoscopic colorectal resectionsen_US
dc.typeArticleen_US

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