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Laparoscopic low anterior resection and transanal pull‐through for low rectal cancer: a Natural Orifice Specimen Extraction (NOSE) technique
Author(s) -
D’Hoore A.,
Wolthuis A. M.
Publication year - 2011
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2011.02773.x
Subject(s) - medicine , total mesorectal excision , surgery , coloanal anastomosis , dissection (medical) , rectum , anal canal , anastomosis , nose , resection , colorectal cancer , cancer
Ultralow anterior resection with coloanal anastomosis has been proven to be oncologically sound and the majority of patients will have acceptable functional outcome. Here we describe a technique that combines laparoscopic ultralow total mesorectal excision with an intersphincteric dissection in order to allow the mobilized rectum and descending colon to be extracted via the muscular anal canal and so avoid any further abdominal incision other than laparoscopic port sites. We believe this novel approach to have significant clinical potential in selected patients.