Case Control Study
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World J Gastroenterol. Nov 28, 2014; 20(44): 16707-16713
Published online Nov 28, 2014. doi: 10.3748/wjg.v20.i44.16707
Complete laparoscopic resection of the rectum using natural orifice specimen extraction
Masayuki Hisada, Kenji Katsumata, Tetsuo Ishizaki, Masanobu Enomoto, Takaaki Matsudo, Kazuhiko Kasuya, Akihiko Tsuchida
Masayuki Hisada, Kenji Katsumata, Tetsuo Ishizaki, Masanobu Enomoto, Takaaki Matsudo, Kazuhiko Kasuya, Akihiko Tsuchida, Department of Digestive Surgery and Pediatric Surgery, Tokyo Medical University, Tokyo 160-0023, Japan
Author contributions: Hisada M and Katsumata K contributed equally to this work; Kasuya K and Tsuchida A designed the research; Hisada M, Ishizaki T, Enomoto M and Matsudo T performed the research; Hisada M and Katsumata K analyzed the data; Hisada M and Katsumata K wrote the paper.
Correspondence to: Masayuki Hisada, MD, PhD, Department of Digestive Surgery and Pediatric Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan. m-hisada@tokyo-med.ac.jp
Telephone: +81-3-33426111 Fax: +81-3-33404575
Received: April 16, 2014
Revised: July 13, 2014
Accepted: August 13, 2014
Published online: November 28, 2014
Processing time: 230 Days and 9.3 Hours
Core Tip

Core tip: Natural orifice specimen extraction (NOSE) has been reported as a less invasive surgery to avoid the problems arising from small incisions. In this study, we present details of a surgical technique for NOSE and the outcomes of complete laparoscopic anterior resection using NOSE are compared with conventional laparoscopic anterior resection. Complete laparoscopic anterior resection using NOSE has more advantages in terms of cosmetic outcomes and mitigating postoperative pain compared with conventional laparoscopic anterior resection. Based on our study, we consider complete laparoscopic anterior resection using NOSE as an acceptable and novel minimally invasive surgery.