Abstract
Compared to open surgery, laparoscopic colectomy for colonic cancer has been proved to have short term benefits of less postoperative pain, reduced pain related and wound related complications, as well as faster return of bowel function. However, specimen retrieval still necessitates a mini-laparotomy which sometimes can be the cause and evil of postoperative pain as well as wound infection, compromising the benefits of minimally invasive surgery. Natural Orifice Transluminal Endoscopic Surgery (NOTES), the next wave of development in minimally invasive surgeries, can help to achieve “scarless” surgery and abolish wound pain and complications in total. However, this technique is technically demanding and hence not widely available. Further inspired by transanal endoscopic microsurgery championed by Buess, we have developed the Hybrid NOTES technique by combing laparoscopic and transluminal techniques in performing laparoscopic colectomy with intra-corporeal anastomosis in patients with left-sided colorectal tumours without mini-laparotomy and thus avoiding wound-related as well as pain-related complications.
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Cheung, H.Y.S. (2015). Hybrid Natural Orifice Transluminal Endoscopic Surgery (NOTES). In: Meng, W., Cheung, H., Lam, D., Ng, S. (eds) Minimally Invasive Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-19698-5_5
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DOI: https://doi.org/10.1007/978-3-319-19698-5_5
Publisher Name: Springer, Cham
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