{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:49:10Z","timestamp":1789055350158,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T00:00:00Z","timestamp":1633824000000},"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":["Colorectal Disease"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Laparoscopic anterior resection with natural orifice specimen extraction (NOSE) has favourable short\u2010term outcomes. However, NOSE is rarely adopted for left hemicolectomy procedures. This study aimed to review the feasibility, safety and short\u2010term outcomes of transrectal NOSE in patients undergoing laparoscopic left hemicolectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All consecutive patients who underwent laparoscopic left hemicolectomy surgery with transrectal NOSE in a single institution between January 2018 and December 2020 were reviewed. Transrectal NOSE was performed with an enterotomy at the upper rectum. The specimen was brought out via a transanal endoscopic microsurgery scope inserted through the anus. A supplementary video demonstrates this technique. Surgical outcomes, including complications, postoperative short\u2010term recovery and the level of pain intensity, are presented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty patients were reviewed. There were no immediate postoperative complications and no wound infections in these patients. The average time to tolerate a soft diet was 3.6\u00a0days, and the average postoperative hospital stay was 4.5\u00a0days. The average score on the numerical rating scale of postoperative pain was 3.0 on postoperative day 1. The median follow\u2010up time was 23.5\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic left hemicolectomy with transrectal NOSE is a safe and feasible procedure that leads to early postoperative recovery and a short hospital stay.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15930","type":"journal-article","created":{"date-parts":[[2021,10,4]],"date-time":"2021-10-04T12:06:24Z","timestamp":1633349184000},"page":"128-132","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Transrectal natural orifice specimen extraction in left hemicolectomy for tumours around the splenic flexure: Old wine in new bottles"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1014-2726","authenticated-orcid":false,"given":"Bor\u2010Kang","family":"Jong","sequence":"first","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching\u2010Chung","family":"Cheng","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3068-8999","authenticated-orcid":false,"given":"Yu\u2010Jen","family":"Hsu","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yih\u2010Jong","family":"Chern","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Sy","family":"Tsai","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsin\u2010Yuan","family":"Hung","sequence":"additional","affiliation":[{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"},{"name":"New Taipei City Municipal Tucheng Hospital New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-4444","authenticated-orcid":false,"given":"Chun\u2010Kai","family":"Liao","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Yu","family":"Yeh","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pao\u2010Shiu","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeng\u2010Fu","family":"You","sequence":"additional","affiliation":[{"name":"Colorectal Section Department of Surgery Chang Gung Memorial Hospital Linkou Taiwan"},{"name":"School of Medicine Chang Gung University Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,10]]},"reference":[{"issue":"12","key":"e_1_2_9_2_1","first-page":"883","article-title":"Operative laparoscopy followed by colpotomy for resecting a colonic leiomyosarcoma. 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