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Advances in laparoscopic colorectal surgery: A review on NOTES and transanal extraction of specimen
Author(s) -
Leung Alex Lik Hang,
Cheung Hester Yui Shan,
Li Michael Ka Wah
Publication year - 2014
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12070
Subject(s) - medicine , natural orifice transluminal endoscopic surgery , colorectal surgery , surgery , invasive surgery , laparoscopic surgery , laparotomy , open surgery , postoperative pain , laparoscopy , general surgery , abdominal surgery
Laparoscopic colorectal surgery has rapidly developed since the 1980s. Relative to open surgery, it offers the benefits of less invasiveness and earlier recovery. However, when a mini‐laparotomy wound is needed to retrieve the specimen, the benefits of minimally invasive surgery may be compromised as a result of pain‐ and wound‐related complications. The introduction of natural orifice transluminal endoscopic surgery ( NOTES ) makes “scarless” surgery a possibility; pain‐ and wound‐related complications are totally abolished. However, a number of technical issues need to be overcome before this technique can be used widely. The development of natural orifice specimen extraction surgery abandons the need for a specimen‐retrieval incision and helps overcome the technical hurdles of NOTES . As a bridge between true “scarless” surgery and conventional laparoscopic surgery, hybrid procedures combining laparoscopic resection and natural orifice specimen extraction surgery currently play an important role in minimally invasive colorectal surgery.