{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T20:48:39Z","timestamp":1726260519101},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,4,4]],"date-time":"2009-04-04T00:00:00Z","timestamp":1238803200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In performing \u201ctraditional\u201d laparoscopic colectomy for left\u2010sided colonic tumors, specimen retrieval necessitates a mini\u2010laparotomy which often is the cause of postoperative pain, wound infection, and other pain\u2010related complications. Here we describe a new technique of endo\u2010laparoscopic anterior resection without mini\u2010laparotomy, where specimen retrieval and colorectal anastomosis can be safely achieved with the use of the transanal endoscopic operation (TEO) device set\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This hybrid natural orifice transluminal endoscopic surgery (NOTES) technique involves insertion of the TEO device in the lower rectum and luminal extraction of the specimen via the device. The technique is applicable to patients with small tumors (4\u00a0cm or less) in the left\u2010sided colon or upper rectum, where transanal construction of a stapled colorectal anastomosis is intended.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The technique was attempted in ten patients (male:female 4:6) with median age of 66 years (range: 55\u201381 years). Five patients suffered from rectosigmoid tumors, whereas four patients had lesions in the sigmoid colon and one had a lesion in the descending colon. The median operating time was 127.5\u00a0min (range: 105\u2013170\u00a0min) and the median blood loss was 20\u00a0ml (range: 20\u201350\u00a0ml). The median hospital stay was 7\u00a0days (range: 4\u201318\u00a0days), while the median maximum pain score (visual analog score) was 2 (range: 2\u20133) during in\u2010hospital stay in this small series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our preliminary experience indicates this new technique of endo\u2010laparoscopic colectomy is feasible for selected patients with left\u2010sided colonic tumors. Complications related to mini\u2010laparotomy can be abolished entirely with this hybrid approach.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0006-6","type":"journal-article","created":{"date-parts":[[2009,4,3]],"date-time":"2009-04-03T18:23:28Z","timestamp":1238783008000},"page":"1287-1291","source":"Crossref","is-referenced-by-count":56,"title":["Endo\u2010Laparoscopic Colectomy Without Mini\u2010Laparotomy for Left\u2010Sided Colonic Tumors"],"prefix":"10.1002","volume":"33","author":[{"given":"Hester Y. S.","family":"Cheung","sequence":"first","affiliation":[{"name":"Department of Surgery Pamela Youde Nethersole Eastern Hospital Chai Wan Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex L. H.","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Surgery Pamela Youde Nethersole Eastern Hospital Chai Wan Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. C.","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Surgery Pamela Youde Nethersole Eastern Hospital Chai Wan Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis C. K.","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Surgery Pamela Youde Nethersole Eastern Hospital Chai Wan Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael K. W.","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery Pamela Youde Nethersole Eastern Hospital Chai Wan Hong Kong SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,4,4]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"1597","article-title":"How safe is laparoscopic colon surgery?","volume":"125","author":"Christen D","year":"1995","journal-title":"Schweiz Med Wochenschr"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000202180.16723.03"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010001\u20109000\u20102"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032651"},{"key":"e_1_2_7_6_2","doi-asserted-by":"crossref","unstructured":"National Nosocomial Infections Surveillance System Report (NNIS)(2004) 32:470\u2013485","DOI":"10.1016\/j.ajic.2004.10.001"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010005\u20100711\u20107"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109552\u2010x"},{"key":"e_1_2_7_9_2","unstructured":"ReddyN RaoP(2004)Per oral transgastric endoscopic appendectomy in human. 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