{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:05:07Z","timestamp":1777943107834,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2010,5,24]],"date-time":"2010-05-24T00:00:00Z","timestamp":1274659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:p>Background. The authors hypothesized that by combining transumbilical, transvaginal, and transrectal accesses, complex bowel operations, including proctocolectomy with restorative jejunal pouch reconstruction, might be possible. Methods and Results. Out of a series of 30 natural orifice surgery (NOS) operations performed at the authors\u2019 institution in the past 12 months, proctocolectomy with ileoanal pouch reconstruction was planned for 3 female patients (31 years, BMI = 30; 50 years, BMI = 31; 30 years, BMI = 21) with extensive disease of ulcerative colitis, and they were operated via a 3-lumenal NOS approach. The first 2 patients received a proctocolectomy with a J-pouch formation. A 3-stage procedure was planned for the third patient, and she received a total colectomy. The colonic specimen was retrieved through the anus obviating dilation of the vagina. The J-pouch was prepared through a horizontal 2-cm incision, which later served as the protective loop ileostomy site. Conclusion . Trilumenal NOS proctocolectomy is feasible and safe providing a solution to overcome the lack of triangulation using a single-lumen approach.<\/jats:p>","DOI":"10.1177\/1553350610365702","type":"journal-article","created":{"date-parts":[[2010,5,26]],"date-time":"2010-05-26T01:38:54Z","timestamp":1274837934000},"page":"164-169","source":"Crossref","is-referenced-by-count":3,"title":["Trilumenal Hybrid-NOS Proctocolectomy"],"prefix":"10.1177","volume":"17","author":[{"given":"Wolfram","family":"Lamad\u00e9","sequence":"first","affiliation":[{"name":"Robert-Bosch-Krankenhaus, Stuttgart, Germany,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Ulmer","sequence":"additional","affiliation":[{"name":"Robert-Bosch-Krankenhaus, Stuttgart, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Hochberger","sequence":"additional","affiliation":[{"name":"St Bernward Krankenhaus, Hildesheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Matthes","sequence":"additional","affiliation":[{"name":"Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin","family":"Friedrich","sequence":"additional","affiliation":[{"name":"Dr Margarete Fischer-Bosch-Institut f\u00fcr klinische Pharmakologie am Robert-Bosch-Krankenhaus, Stuttgart, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus Peter","family":"Thon","sequence":"additional","affiliation":[{"name":"Robert-Bosch-Krankenhaus, Stuttgart, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,5,24]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1097\/01.SLA.0000055270.48242.D2"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0500-y"},{"key":"atypb3","unstructured":"Franklin ME Jr. Laparoscopic colon and small bowel surgery. In: Principles of Laparoscopic Surgery, Basic and Advanced Techniques. Maurice Arregui, ed. New York. 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Munich, Germany: Hans Marseille; 2008:27-56.","DOI":"10.1055\/s-2008-1077617"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.562"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-008-0519-8"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1076992"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-9956-2"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0006-6"},{"key":"atypb23","author":"Lamad\u00e9 W.","journal-title":"Surg Innov"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1553350610365702","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1553350610365702","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:16:06Z","timestamp":1777706166000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1553350610365702"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5,24]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,6]]}},"alternative-id":["10.1177\/1553350610365702"],"URL":"https:\/\/doi.org\/10.1177\/1553350610365702","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5,24]]}}}