A Comparison of Natural Orifice Versus Transabdominal Specimen Extraction Following Laparoscopic Total Colectomy

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dc.authoridGunes, Orgun/0000-0002-0576-6086
dc.authoridUylas, Ufuk/0000-0003-4195-5498
dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authorwosidGunes, Orgun/GLN-4395-2022
dc.authorwosidUylas, Ufuk/A-1827-2019
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidGundogan, Ersin/AFE-0184-2022
dc.authorwosidSumer, Fatih/F-8042-2017
dc.contributor.authorGundogan, Ersin
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorGunes, Orgun
dc.contributor.authorUylas, Ufuk
dc.contributor.authorSumer, Fatih
dc.date.accessioned2024-08-04T20:45:52Z
dc.date.available2024-08-04T20:45:52Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction: Natural orifice surgery has been increasingly used in colon surgery since the early 2000s. However, it is rarely used for total colectomy. In this study, we aimed to retrospectively compare natural orifice specimen extraction (NOSE) with transabdominal specimen extraction in patients undergoing laparoscopic total colectomy. Materials and Methods: Twenty-six patients who underwent laparoscopic total colectomy between 2013 and 2017 were enrolled and the patients were divided into two groups: NOSE (n = 13) and transabdominal group (n = 13). The patients' demographic characteristics, perioperative and postoperative outcomes, pathology results, visual analog scale scores, and cosmetic scores were compared. Results: There was no significant difference between the two groups in terms of demographic characteristics as well as perioperative and postoperative outcomes, including complications. Benign pathologies were more common in the NOSE group (85% versus 15%, P = .001). The pain scores of the postoperative first, second, and third days were significantly lower in the NOSE group 4.1 +/- 2.1 versus 7.1 +/- 1.3 (P = .005), 3.7 +/- 2.2 versus 6.0 +/- 1.5 (P = .003), and 2.2 +/- 2.0 versus 4.1 +/- 0.9 (P = .03), respectively. As expected, the mean cosmetic score was significantly better in the NOSE group (8.3 +/- 1.5 versus 6.7 +/- 1.8, P = .02). Conclusion: NOSE combined with laparoscopic total colectomy provided better patient comfort in benign diseases and small-sized malignant diseases.en_US
dc.identifier.doi10.1089/lap.2018.0529
dc.identifier.endpage475en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue4en_US
dc.identifier.pmid30312136en_US
dc.identifier.scopus2-s2.0-85064246146en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage471en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2018.0529
dc.identifier.urihttps://hdl.handle.net/11616/98755
dc.identifier.volume29en_US
dc.identifier.wosWOS:000447151200001en_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.subjectsubtotal colectomyen_US
dc.subjectfamilial polyposis colien_US
dc.subjectattenuated polyposisen_US
dc.subjecttransvaginalen_US
dc.subjecttransanalen_US
dc.subjectnatural orifice surgeryen_US
dc.subjectaestheticen_US
dc.subjectcosmeticen_US
dc.subjectlaparoscopic colorectal surgeryen_US
dc.titleA Comparison of Natural Orifice Versus Transabdominal Specimen Extraction Following Laparoscopic Total Colectomyen_US
dc.typeArticleen_US

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