{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:52Z","timestamp":1786649452625,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T00:00:00Z","timestamp":1734998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Transvaginal natural orifice specimen extraction surgery (NOSES) is an innovative and feasible approach for left-sided colorectal resections in females. This study aimed to report our experience with transvaginal NOSES for left-sided laparoscopic colorectal resections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>We analysed data for all patients with transvaginal extraction performed for left-sided laparoscopic colorectal resections between 2011 and 2021 at a tertiary teaching hospital in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The 18 post-menopausal patients were of a mean age of 69.2 \u00b1 10.14 years. The lesions were located at the descending (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5), sigmoid colon (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12) and rectum (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). The operative time was 262.5 \u00b1 83.91 min, and the blood loss was 34 \u00b1 35.98 mL. All patients had an end-to-end anastomosis, and the anastomotic height was 15.06 \u00b1 8.57 cm. Two patients received diversion stoma. The mean length of hospital stay was 5.1 days (standard deviation \u00b1 2.42; range: 3\u201312 days). There were no cases of clinical infection. The pathology was malignancy (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 14, 77.8%), diverticulitis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2, 11.2%) and benign (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2, 11.2%). In cancers, they were Stage I (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1, 7.1%), IIa (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1, 7.1%), IIIb (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 15, 78.7%) and IV (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1, 7.1%). Malignant specimens (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 14) were mostly moderately differentiated (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 11, 78.6%), with two poorly differentiated (14.3%) and one well-differentiated (7.1%). The lymph nodes harvested were 16.1 \u00b1 8.11. The widest dimension of the lesion was 3.43 cm \u00b1 1.28 (range: 1.5\u20136) and the length of the specimen was 14.69 cm \u00b1 5.01 (range: 8\u201327).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Transvaginal NOSES is safe and feasible for left-sided colorectal resection. Factors to consider are the characteristics of the specimen, anal canal and vagina.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_108_24","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T13:00:32Z","timestamp":1735045232000},"page":"51-59","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Transvaginal natural orifice specimen extraction surgery for left-sided colorectal resection: A single-centre cohort study"],"prefix":"10.4103","volume":"21","author":[{"given":"Ruben Gregory","family":"Xavier","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Colorectal Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia"},{"name":"Department of Surgery, Division of Colorectal Surgery, China Medical University Hospital, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao-Wei","family":"Ke","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Colorectal Surgery, China Medical University Hospital, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William Tzu-Liang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Colorectal Surgery, China Medical University Hsinchu Hospital, Zhubei City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,12,24]]},"reference":[{"key":"R1-20250114","doi-asserted-by":"crossref","first-page":"2596","DOI":"10.1007\/s00464-008-9845-8","article-title":"Does the extraction-site location in laparoscopic colorectal surgery have an impact on incisional hernia rates?","volume":"22","author":"Singh","year":"2008","journal-title":"Surg Endosc"},{"key":"R2-20250114","doi-asserted-by":"crossref","first-page":"4697","DOI":"10.1007\/s00464-016-4812-2","article-title":"Systematic review with meta-analysis of studies comparing single-incision laparoscopic colectomy and multiport laparoscopic colectomy","volume":"30","author":"Podda","year":"2016","journal-title":"Surg Endosc"},{"key":"R3-20250114","doi-asserted-by":"crossref","first-page":"3505","DOI":"10.1007\/s00464-015-4639-2","article-title":"Incisional and port-site hernias following robotic colorectal surgery","volume":"30","author":"Harr","year":"2016","journal-title":"Surg Endosc"},{"key":"R4-20250114","doi-asserted-by":"crossref","first-page":"12981","DOI":"10.3748\/wjg.v20.i36.12981","article-title":"Laparoscopic natural orifice specimen extraction-colectomy:A systematic review","volume":"20","author":"Wolthuis","year":"2014","journal-title":"World J Gastroenterol"},{"key":"R5-20250114","first-page":"469","article-title":"Retrospective study of 718 colorectal neoplasms treated by natural orifice specimen extraction surgery in 79 hospitals","volume":"6","author":"Guan","year":"2017","journal-title":"Chin J Colorec Dis"},{"key":"R6-20250114","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1002\/bjs.7517","article-title":"Laparoscopic resection with transanal specimen extraction for sigmoid diverticulitis","volume":"98","author":"Leroy","year":"2011","journal-title":"Br J Surg"},{"key":"R7-20250114","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1111\/ans.13383","article-title":"Transanal natural orifice specimen extraction in colorectal surgery:Bacteriological and oncological concerns","volume":"86","author":"Ngu","year":"2016","journal-title":"ANZ J Surg"},{"key":"R8-20250114","doi-asserted-by":"crossref","first-page":"837902","DOI":"10.3389\/fendo.2022.837902","article-title":"Is natural orifice specimen extraction surgery really safe in radical surgery for colorectal cancer?","volume":"13","author":"Liu","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"key":"R9-20250114","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1093\/gastro\/goy055","article-title":"International consensus on natural orifice specimen extraction surgery (NOSES) for colorectal cancer","volume":"7","author":"Guan","year":"2019","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"R10-20250114","doi-asserted-by":"crossref","first-page":"26","DOI":"10.4174\/astr.2018.94.1.26","article-title":"Long-term outcomes after natural orifice specimen extraction versus conventional laparoscopy-assisted surgery for rectal cancer:A matched case-control study","volume":"94","author":"Park","year":"2018","journal-title":"Ann Surg Treat Res"},{"key":"R11-20250114","doi-asserted-by":"crossref","first-page":"2400","DOI":"10.1111\/jog.14134","article-title":"Transabdominal versus transvaginal specimen extraction in mini-laparoscopic surgery","volume":"45","author":"Soyman","year":"2019","journal-title":"J Obstet Gynaecol Res"},{"key":"R12-20250114","doi-asserted-by":"crossref","first-page":"265","DOI":"10.2147\/CEG.S135331","article-title":"Natural orifice specimen extraction in colorectal surgery:Patient selection and perspectives","volume":"11","author":"Izquierdo","year":"2018","journal-title":"Clin Exp Gastroenterol"},{"key":"R13-20250114","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1002\/jso.26608","article-title":"A new and practical surgical technique of transvaginal natural orifice specimen extraction surgery (NOSES) in laparoscopic nephroureterectomy-an initial clinical experience","volume":"124","author":"Zhao","year":"2021","journal-title":"J Surg Oncol"},{"key":"R14-20250114","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.urology.2016.09.023","article-title":"Hybrid transvaginal NOTES nephrectomy:Postoperative sexual outcomes. A three-center matched study","volume":"99","author":"Buttic\u00e8","year":"2017","journal-title":"Urology"},{"key":"R16-20250114","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s44178-023-00034-z","article-title":"International Guideline on Natural Orifce Specimen Extraction Surgery (NOSES) for Colorectal Cancer (2023 version)","volume":"2","author":"Liu","year":"2023","journal-title":"Holistic Integrative Oncology"},{"key":"R17-20250114","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1186\/s12894-021-00890-9","article-title":"Transvaginal natural orifice specimen extraction surgery (NOSES) in 3D laparoscopic partial or radical nephrectomy:A preliminary study","volume":"21","author":"Zhao","year":"2021","journal-title":"BMC Urol"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_108_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:19Z","timestamp":1786647259000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_108_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,24]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_108_24","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,24]]},"assertion":[{"value":"2024-04-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}