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A Novelty in Laparoscopic Total Colectomy With Natural Orifice Specimen Extraction Using a Plastic Cover; [Uma Novidade Na Colectomia Total Laparoscopica Com Extracao De Especime Em Orificio Natural Usando Uma Cobertura Plastic] Publisher



Alemrajabi M1 ; Bananzadeh A2 ; Moradi M3 ; Alemrajabi F3 ; Vahdani M4 ; Miri SR5
Authors
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Authors Affiliations
  1. 1. Iran University of Medical Sciences, Firoozgar Hospital, Firoozgar Clinical Research Development Center, Tehran, Iran
  2. 2. Shiraz University of Medical Sciences, Colorectal Research Center, Tehran, Iran
  3. 3. Iran University of Medical Sciences, Firoozgar Clinical Research Development Center, Tehran, Iran
  4. 4. Shahed University, Medical Faculty, Tehran, Iran
  5. 5. Tehran University of Medical Sciences, Institute Cancer, Tehran, Iran

Source: Journal of Coloproctology Published:2020


Abstract

Introduction: Minimally invasive colectomy has been performed for some years for many patients worldwide without much complications compared to the open approach. In this study we explained our experience regarding a modification in laparoscopic total colectomy and removing the specimen with Natural Orifice Specimen Extraction (NOSE) through rectum using a plastic cover for the first time. Methods and material: This was an experimental study on a new technique of total colectomy with a small modification. Total colectomy was performed based on 7 port laparoscopic approach. Rectum was sparred. Colon was then taken out through the anal canal using a plastic cover. Results: Thirteen patients underwent laparoscopic total colectomy by removal of the specimen through rectum. Mean age of patients was 42.23 ± 8.15 years. Mean duration of operation was 130 ± 32.4 min. All patients had an uneventful postoperative hospitalization. Discussion: Laparoscopic total colectomy has been proven to have superior benefits than the open approach. In NOSE technique, colon is removed from the anal canal without any complication or consuming much time. This technique might have less pain and removes the complications associated with an incision on the skin to remove the specimen. Also, due to low price of a usual plastic cover, it can be used instead of other techniques to remove the specimen through the rectum. © 2020 Sociedade Brasileira de Coloproctologia