{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:02:20Z","timestamp":1777921340924,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Twenty-six patients who underwent laparoscopic total colectomy between 2013 and 2017 were enrolled and the patients were divided into two groups: NOSE (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200913) and transabdominal group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200913). The patients' demographic characteristics, perioperative and postoperative outcomes, pathology results, visual analog scale scores, and cosmetic scores were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      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%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001). The pain scores of the postoperative first, second, and third days were significantly lower in the NOSE group 4.1\u2009\u00b1\u20092.1 versus 7.1\u2009\u00b1\u20091.3 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.005), 3.7\u2009\u00b1\u20092.2 versus 6.0\u2009\u00b1\u20091.5 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.003), and 2.2\u2009\u00b1\u20092.0 versus 4.1\u2009\u00b1\u20090.9 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.03), respectively. As expected, the mean cosmetic score was significantly better in the NOSE group (8.3\u2009\u00b1\u20091.5 versus 6.7\u2009\u00b1\u20091.8,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>NOSE combined with laparoscopic total colectomy provided better patient comfort in benign diseases and small-sized malignant diseases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2018.0529","type":"journal-article","created":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T13:58:58Z","timestamp":1539352738000},"page":"471-475","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["A Comparison of Natural Orifice Versus Transabdominal Specimen Extraction Following Laparoscopic Total Colectomy"],"prefix":"10.1177","volume":"29","author":[{"given":"Ersin","family":"Gundogan","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cuneyt","family":"Kayaalp","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orgun","family":"Gunes","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ufuk","family":"Uylas","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatih","family":"Sumer","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-015-2337-0"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.5114\/wiitm.2016.59578"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.5114\/wiitm.2017.69227"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-017-1611-2"},{"key":"e_1_3_2_6_2","first-page":"82","article-title":"Totally laparoscopic resection and extraction of specimens via transanal route in synchronous colon and gastric cancer","volume":"39","author":"Sumer F","year":"2018","unstructured":"Sumer F, , Karakas S, , Gundogan E, , Sahin T, , Kayaalp C. Totally laparoscopic resection and extraction of specimens via transanal route in synchronous colon and gastric cancer. G Chir, 2018; 39:82\u201386.","journal-title":"G Chir"},{"key":"e_1_3_2_7_2","first-page":"116","article-title":"Current status in laparoscopic colorectal interventions","volume":"22","author":"Ertem M","year":"2006","unstructured":"Ertem M, , Baca B. Current status in laparoscopic colorectal interventions. Turk J Surg, 2006; 22:116\u2013119.","journal-title":"Turk J Surg"},{"key":"e_1_3_2_8_2","first-page":"530314","article-title":"Laparoscopic versus open surgery for colorectal cancer: A retrospective analysis of 163 patients in a single institution","volume":"2014","author":"Bedirli A","year":"2014","unstructured":"Bedirli A, , Salman B, , Yuksel O. Laparoscopic versus open surgery for colorectal cancer: A retrospective analysis of 163 patients in a single institution. Minim Invasive Surg, 2014; 2014:530314.","journal-title":"Minim Invasive Surg"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016340903568175"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3540-8"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7419"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3520-3"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00104-014-2808-9"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182916138"},{"key":"e_1_3_2_15_2","first-page":"88","article-title":"Laparoscopic-assisted resection for colorectal cancer without incision at abdomen versus traditional laparoscopic resection: A meta-analysis","volume":"42","author":"Yang X","year":"2017","unstructured":"Yang X, , Su W, , Deng Z, , Wang Q, , Xu X, , Cao J. Laparoscopic-assisted resection for colorectal cancer without incision at abdomen versus traditional laparoscopic resection: A meta-analysis. Zhong Nan Da Xue Xue Bao Yi Xue Ban, 2017; 42:88\u201397.","journal-title":"Zhong Nan Da Xue Xue Bao Yi Xue Ban"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2018.0529","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2018.0529","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2018.0529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:51:57Z","timestamp":1777665117000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2018.0529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,1]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4,1]]}},"alternative-id":["10.1089\/lap.2018.0529"],"URL":"https:\/\/doi.org\/10.1089\/lap.2018.0529","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,1]]}}}