Comparison of natural orifice and conventional transabdominal specimen extraction: literature review
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ame Publishing Company
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background and Objective: Conventional laparoscopic (CL) surgery is widely used in colorectal surgery. However, specimen extraction in CL requires an abdominal incision, which leads to increased rates of incision- related complications, such as postoperative pain, hernia, and surgical site infection (SSI). To reduce these complications, a novel and minimally invasive surgical approach known as natural orifice sample extraction (NOSE) has gained increasingly widespread use. The aim of this review is, intended to compare NOSE and CL in terms of postoperative complications and oncological outcomes in colorectal surgery. Methods: Various medical databases were searched up to May 2021. We included retrospective, cohort study, randomized controlled trials and meta-analysis on the treatment of colorectal cancer (CRC) with NOSES. Key Content and Findings: The results of this review showed that; compared with CL, NOSE showed less intraoperative bleeding, less postoperative pain and less analgesic requirement, fewer postoperative complications, better cosmetic recovery, less hospital stay, and better quality of life (QoL). While the operation time was found to be longer in NOSE, oncological results were similar in the two groups. Conclusions: NOSE can be applied in colorectal surgery with better clinical outcomes and similar oncologic outcomes. Large-scale multicenter studies are required to confirm its clinical benefits.
Açıklama
Anahtar Kelimeler
Conventional laparoscopy ( CL), natural orifice sample extraction (NOSE), specimen extraction, colon, rectum, colorectal
Kaynak
Annals of Laparoscopic and Endoscopic Surgery
WoS Q Değeri
N/A
Scopus Q Değeri
Q3
Cilt
8
