Intracorporeal Mesenteric Division of the Colon Can Make the Specimen More Suitable for Natural Orifice Extraction

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dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorNovruzov, Namiq Haydaroglu
dc.date.accessioned2024-08-04T20:39:48Z
dc.date.available2024-08-04T20:39:48Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractLaparoscopic surgery combined with natural orifice specimen extraction (NOSE) avoids extra incisions to the abdominal wall and causes less pain and fewer wound complications, together with a shorter recovery and reduced time off from work. However, the size of the specimen is a limiting factor for NOSE. We describe a novel method for natural orifice colorectal specimen extraction that reduces the diameter of the specimen and provides an easier extraction through the vagina. A totally laparoscopic right hemicolectomy for a cecal adenocarcinoma 5 cm in diameter was performed on a 62-year-old woman. Ileocolic anastomosis was done intracorporeally. Before transvaginal extraction, the largest width of the specimen was measured as 12 cm. The bulky mesentery of the cecum that limited the NOSE was divided partially along the bowel with a LigaSure (TM) (Covidien, Boulder, CO) device. The largest width of the specimen was reduced to 9 cm, and the specimen was extracted without difficulty through the vagina in a bag. The stage of the tumor was pT3pN1. There was no recurrence with a 7-month follow-up. Transvaginal specimen extraction may fail because of the size of the specimen. Reduction of the width of the specimen by partial division of the mesocolon provides a high success rate for NOSE. This novel technique should be in the repertoire of laparoscopic colorectal surgeons.en_US
dc.identifier.doi10.1089/lap.2014.0116
dc.identifier.endpage486en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue7en_US
dc.identifier.pmid24905885en_US
dc.identifier.scopus2-s2.0-84903793100en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage484en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2014.0116
dc.identifier.urihttps://hdl.handle.net/11616/96496
dc.identifier.volume24en_US
dc.identifier.wosWOS:000339153100008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparoscopic Right Hemicolectomyen_US
dc.subjectPosterior Colpotomyen_US
dc.subjectRetrievalen_US
dc.titleIntracorporeal Mesenteric Division of the Colon Can Make the Specimen More Suitable for Natural Orifice Extractionen_US
dc.typeArticleen_US

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