Abstract
Short-term benefits of laparoscopic colectomy for colonic cancer have been proved in different clinical trials [1–3]; patients will benefit from less postoperative pain, reduced pain-related and wound-related complications, as well as faster return of bowel function. However, abdominal incisions for retrieval of specimen are associated with increased postoperative pain and sometimes wound-related complications, compromising the benefits of minimally invasive surgery.
Herein, we describe a novel technique of laparoscopic colectomy without mini-laparotomy, known as hybrid NOTES colectomy, for patients suffering from left-sided colonic tumors. In this technique, colonic mobilization, transection, and colorectal anastomosis are performed laparoscopically, but specimen is extracted through an anatomical passage, i.e., the anus, using the Transanal Endoscopic Operation (TEO) device (Karl Storz Endoscopy, Tuttlingen, Germany). Without a mini-laparotomy, wound-related complications can therefore be avoided.
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Leung, A.L.H., Cheung, H.Y.S., Li, M.K.W. (2014). Hybrid NOTES Colectomy for Left-Sided Colonic Tumors. In: Law, W., Delaney, C. (eds) Single Incision Laparoscopic and Transanal Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8902-3_10
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DOI: https://doi.org/10.1007/978-1-4614-8902-3_10
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