Narong Boonyagard, MD, Punthita Aimsupanimitr, MD, Panya Thaweepworadech, MD, Ittiphol Viratanapanu, MD, Dome Charoenthong, MD, Somkiat Ussavarojpong, MD, Supakit Chartchaiyarerk, MD, Chaiyaporn Suwitchakul, MD. BMA general hospital
Traditional laparoscopic colectomy for colorectal cancer requires a minilaparotomy for specimen extraction. This increases a postoperative wound complication including pain, incisional hernia, and wound infection. To decrease the incidence of wound complications, Natural Orifice Specimen Extraction (NOSE) was developed to avoid additional incisions through the abdominal wall.
However, Published experience remains limited. Early data suggest equivalent oncologic and safety profiles to traditional laparoscopic colectomy. Recently, reports have shown that NOSE has the lower postoperative pain and fewer wound complication. However, the detail of these techniques is still evolving
In this VDO, we describe a technique for laparoscopic sigmoidectomy of malignant polyp in a 67-year-old female followed by transanal specimen extraction in Bangkok Metropolitan Administration (BMA) General Hospital Bangkok, Thailand. This video demonstrates a technique for operative field setup, port placement, and step of operation.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77869
Program Number: V180
Presentation Session: Video Loop
Presentation Type: VideoLoop