Laparoscopic right-sided colonic resection with transluminal colonoscopic specimen extraction

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dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authoridKutluturk, Koray/0000-0002-7030-4953
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidAtes, Mustafa/ABI-5100-2020
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidKutluturk, Koray/S-5493-2019
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorKutluturk, Koray
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorAtes, Mustafa
dc.date.accessioned2024-08-04T20:59:49Z
dc.date.available2024-08-04T20:59:49Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAIM: To study the transcolonic extraction of the proximally resected colonic specimens by colonoscopic assistance at laparoscopic colonic surgery. METHODS: The diagnoses of our patients were Crohn's disease, carcinoid of appendix and adenocarcinoma of cecum. We preferred laparoscopic total mesocolic resections. Colon and terminal ileum were divided with endoscopic staplers. A colonoscope was placed per anal and moved proximally in the colon till to reach the colonic closed end under the laparoscopic guidance. The stump of the colon was opened with laparoscopic scissors. A snare of colonoscope was released and the intraperitoneal complete free colonic specimen was grasped. Specimen was moved in to the colon with the help of the laparoscopic graspers and pulled gently through the large bowel and extracted through the anus. The open end of the colon was closed again and the ileal limb and the colon were anastomosed intracorporeally with a 60-mm laparoscopic stapler. The common enterotomy orifice was closed in two layers with a running intracorporeal suture. RESULTS: There were three patients with laparoscopic right-sided colonic resections and their specimens were intended to remove through the remnant colon by colonoscopy but the procedure failed in one patient (adenocarcinoma) due to a bulky mass and the specimen extraction was converted to transvaginal route. All the patients had prior abdominal surgeries and had related adhesions. The operating times were 210, 300 and 500 min. The lengths of the specimens were 13, 17 and 27 cm. In our cases, there were no superficial or deep surgical site infections or any other complications. The patients were discharged uneventfully within 4-5 d and they were asymptomatic after a mean 7.6 mo follow-up (ranged 4-12). As far as we know, there were only 12 cases reported yet on transcolonic extraction of the proximal colonic specimens by colonoscopic assistance after laparoscopic resections. With our cases, success rate of the overall experience in the literature was 80% (12/15) in selected cases. CONCLUSION: Transcolonic specimen extraction for right-sided colonic resection is feasible in selected patients. Both natural orifice surgery and intracorporeal anastomosis avoids mini-laparotomy for specimen extraction or anastomosis.en_US
dc.identifier.doi10.4253/wjge.v7.i12.1078
dc.identifier.endpage1082en_US
dc.identifier.issn1948-5190
dc.identifier.issue12en_US
dc.identifier.pmid26380054en_US
dc.identifier.startpage1078en_US
dc.identifier.urihttps://doi.org/10.4253/wjge.v7.i12.1078
dc.identifier.urihttps://hdl.handle.net/11616/103566
dc.identifier.volume7en_US
dc.identifier.wosWOS:000360999900005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Gastrointestinal Endoscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectColonoscopyen_US
dc.subjectColon canceren_US
dc.subjectCrohn's diseaseen_US
dc.subjectLaparoscopic surgeryen_US
dc.subjectNatural orifice transendoscopic surgeren_US
dc.subjectNatural orifice specimen extractionen_US
dc.titleLaparoscopic right-sided colonic resection with transluminal colonoscopic specimen extractionen_US
dc.typeArticleen_US

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