{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:09:04Z","timestamp":1788455344337,"version":"build-2803163510"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,11,24]],"date-time":"2015-11-24T00:00:00Z","timestamp":1448323200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2016,4]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>Natural orifice techniques have been developed to reduce incision\u2010related morbidity in laparoscopic colorectal surgery. We describe our method of performing transanal specimen extraction in laparoscopic colorectal surgery, addressing bacteriological and oncological concerns in its implementation.<\/jats:p><\/jats:sec>Methods<\/jats:title>Data of consecutive patients undergoing natural orifice specimen extraction (NOSE<\/jats:styled-content>) laparoscopic colorectal surgery in our institution were retrospectively analysed. All specimens were extracted transanally via a wound protector, followed by intracorporeal end\u2010to\u2010end colorectal anastomosis. Perioperative details, microbiological and oncological findings were reviewed.<\/jats:p><\/jats:sec>Results<\/jats:title>Between N<\/jats:styled-content>ovember 2014 and F<\/jats:styled-content>ebruary 2015, five patients underwent NOSE<\/jats:styled-content> laparoscopic colorectal procedures in our institution. All cases were completed laparoscopically and specimens were extracted transanally via a wound protector. There were no cases of post\u2010operative anastomotic leaks, wound infections, intra\u2010abdominal sepsis or faecal incontinence. Oncological margins and lymph node harvest were adequate for malignant cases. Transanal specimen extraction did not result in a malignant yield on peritoneal fluid cytology.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Early bacteriological, oncological and functional results show that NOSE<\/jats:styled-content> is safe and feasible. Follow\u2010up is required to establish that long\u2010term oncological outcome is not compromised.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13383","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T01:29:22Z","timestamp":1448414962000},"page":"299-302","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Transanal natural orifice specimen extraction in colorectal surgery: bacteriological and oncological concerns"],"prefix":"10.1111","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5233-457X","authenticated-orcid":false,"given":"James","family":"Ngu","sequence":"first","affiliation":[{"name":"Department of General Surgery Changi General Hospital Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Siang Yih","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of General Surgery Changi General Hospital Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2013.11.010"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3784-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9757"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050307"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01655705"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9316-2"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v20.i36.12981"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i43.7751"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7517"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1772-0"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1787-6"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-011-1574-8"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/38447238"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/75.4.683"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0406-6"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13383","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.13383","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T12:50:39Z","timestamp":1695473439000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.13383"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,24]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1111\/ans.13383"],"URL":"https:\/\/doi.org\/10.1111\/ans.13383","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,24]]},"assertion":[{"value":"2015-10-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-11-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}