Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer
Objective: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an important evolution in minimally invasive surgery (MIS) nowaday. This paper presents the techniques and early results of the pure transanal and transvaginal laparoscopies (NOTES) used for the treatment of colorectal cancer. Ma...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Vietnam Ministry of Science and Technology
2017-06-01
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| Series: | Vietnam Journal of Science, Technology and Engineering |
| Subjects: | |
| Online Access: | https://www.vietnamscience.vjst.vn/index.php/vjste/article/view/303 |
| _version_ | 1797256709479071744 |
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| author | Nhu Hiep Pham Huu Thien Ho Anh Vu Pham Hai Thanh Phan Thanh Xuan Nguyen Xuan Dong Pham Tien Nhan Van Nghiem Trung Tran Trung Vy Pham Si Doan Diem Tran Trung Hieu Mai Le Minh Chau Dao |
| author_facet | Nhu Hiep Pham Huu Thien Ho Anh Vu Pham Hai Thanh Phan Thanh Xuan Nguyen Xuan Dong Pham Tien Nhan Van Nghiem Trung Tran Trung Vy Pham Si Doan Diem Tran Trung Hieu Mai Le Minh Chau Dao |
| author_sort | Nhu Hiep Pham |
| collection | DOAJ |
| description |
Objective: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an important evolution in minimally invasive surgery (MIS) nowaday. This paper presents the techniques and early results of the pure transanal and transvaginal laparoscopies (NOTES) used for the treatment of colorectal cancer. Material and method: Prospective studies were conducted at Hue Central Hospital, Vietnam. Patients: From December 2013 to September 2015, 22 cololorectal cancer patients (18 rectum, 3 sigmoid tumors and 1 descending colon), adenocarcinoma, T≤ T3N1M0. Methods: The patients were placed in lithotomy and Trendelenburg positions, and the lone-star retractor was placed in the anus (rectum cancer) or vagina (sigmoid cancer). The surgical cavity was then inflated with CO 2 and set at 12 mm/Hg. Dissection was continued until inside of the abdominal cavity (transanal technique). After that, the rectum was pushed into the abdominal cavity. The IMA and IMV were divided (TME included) in both techniques. After finishing dissection, the specimens were pulled out through the anus or vagina to prepare anastomosis. Coloanal and colorectal anastomosis were either hand-sewn (6 cases) or sealed with EEA staplers (16 cases). Results: 2 patients needed one more 5 mm umbilical port in RLQ, 2 patients needed two 5 mm trocars (post radiation hemorrhage, and urethral perforation). One patient converted to open and 1 patient converted to the HYBRID-NOTES procedure. The operation time was 258±40 (190-300) minutes. All patients required minimal analgesia. Bowel movement returned on the first day to 16 patients (average: two days, maximum: three days). The hospital stay was 7±2.8 (4-14) days. Kirwan classification (sphincter function) was very good (stage I: 18). Conclusions: Pure transanal and transvaginal laparoscopies for the treatment of colorectal cancer are feasible and safe. We believe that this is the first pure transvaginal laparoscopy (NOTES) for human in the world. A multicentric study in a large numbers of patients and a long follow-up is necessary.
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| first_indexed | 2024-04-24T22:26:03Z |
| format | Article |
| id | doaj.art-6fefb2d8e42c404e92367249710a62f3 |
| institution | Directory Open Access Journal |
| issn | 2525-2461 2615-9937 |
| language | English |
| last_indexed | 2024-04-24T22:26:03Z |
| publishDate | 2017-06-01 |
| publisher | Vietnam Ministry of Science and Technology |
| record_format | Article |
| series | Vietnam Journal of Science, Technology and Engineering |
| spelling | doaj.art-6fefb2d8e42c404e92367249710a62f32024-03-19T23:52:05ZengVietnam Ministry of Science and TechnologyVietnam Journal of Science, Technology and Engineering2525-24612615-99372017-06-0159210.31276/VJSTE.59(2).48Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancerNhu Hiep Pham0Huu Thien Ho1Anh Vu Pham2Hai Thanh Phan3Thanh Xuan Nguyen4Xuan Dong Pham5Tien Nhan Van6Nghiem Trung Tran7Trung Vy Pham8Si Doan Diem Tran9 Trung Hieu Mai10Le Minh Chau Dao11Hue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, VietnamHue Central Hospital, Vietnam Objective: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an important evolution in minimally invasive surgery (MIS) nowaday. This paper presents the techniques and early results of the pure transanal and transvaginal laparoscopies (NOTES) used for the treatment of colorectal cancer. Material and method: Prospective studies were conducted at Hue Central Hospital, Vietnam. Patients: From December 2013 to September 2015, 22 cololorectal cancer patients (18 rectum, 3 sigmoid tumors and 1 descending colon), adenocarcinoma, T≤ T3N1M0. Methods: The patients were placed in lithotomy and Trendelenburg positions, and the lone-star retractor was placed in the anus (rectum cancer) or vagina (sigmoid cancer). The surgical cavity was then inflated with CO 2 and set at 12 mm/Hg. Dissection was continued until inside of the abdominal cavity (transanal technique). After that, the rectum was pushed into the abdominal cavity. The IMA and IMV were divided (TME included) in both techniques. After finishing dissection, the specimens were pulled out through the anus or vagina to prepare anastomosis. Coloanal and colorectal anastomosis were either hand-sewn (6 cases) or sealed with EEA staplers (16 cases). Results: 2 patients needed one more 5 mm umbilical port in RLQ, 2 patients needed two 5 mm trocars (post radiation hemorrhage, and urethral perforation). One patient converted to open and 1 patient converted to the HYBRID-NOTES procedure. The operation time was 258±40 (190-300) minutes. All patients required minimal analgesia. Bowel movement returned on the first day to 16 patients (average: two days, maximum: three days). The hospital stay was 7±2.8 (4-14) days. Kirwan classification (sphincter function) was very good (stage I: 18). Conclusions: Pure transanal and transvaginal laparoscopies for the treatment of colorectal cancer are feasible and safe. We believe that this is the first pure transvaginal laparoscopy (NOTES) for human in the world. A multicentric study in a large numbers of patients and a long follow-up is necessary. https://www.vietnamscience.vjst.vn/index.php/vjste/article/view/303colorectal cancerHue Central HospitalNatural Orifice Transluminal Endoscopic Surgery |
| spellingShingle | Nhu Hiep Pham Huu Thien Ho Anh Vu Pham Hai Thanh Phan Thanh Xuan Nguyen Xuan Dong Pham Tien Nhan Van Nghiem Trung Tran Trung Vy Pham Si Doan Diem Tran Trung Hieu Mai Le Minh Chau Dao Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer Vietnam Journal of Science, Technology and Engineering colorectal cancer Hue Central Hospital Natural Orifice Transluminal Endoscopic Surgery |
| title | Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer |
| title_full | Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer |
| title_fullStr | Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer |
| title_full_unstemmed | Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer |
| title_short | Evaluating the initial result of transanal and transvaginal NOTES for colorectal cancer |
| title_sort | evaluating the initial result of transanal and transvaginal notes for colorectal cancer |
| topic | colorectal cancer Hue Central Hospital Natural Orifice Transluminal Endoscopic Surgery |
| url | https://www.vietnamscience.vjst.vn/index.php/vjste/article/view/303 |
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