Song ZJ, Shi YQ, Jiang YM, Liu K, Li Y, Wang CG, Zhao R. Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report. World J Clin Cases 2021; 9(7): 1714-1719 [PMID: 33728316 DOI: 10.12998/wjcc.v9.i7.1714]
Corresponding Author of This Article
Ren Zhao, FACS, MD, PhD, Chief Doctor, Professor, Surgeon, Surgical Oncologist, Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, No. 999 Xiwang Road, Jiading District, Shanghai 201801, China. zhaorensurgeon@aliyun.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 6, 2021; 9(7): 1714-1719 Published online Mar 6, 2021. doi: 10.12998/wjcc.v9.i7.1714
Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer: A case report
Zi-Jia Song, Yi-Qing Shi, Yi-Mei Jiang, Kun Liu, You Li, Chang-Gang Wang, Ren Zhao
Zi-Jia Song, Yi-Qing Shi, Yi-Mei Jiang, Kun Liu, You Li, Chang-Gang Wang, Ren Zhao, Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201801, China
Author contributions: Song ZJ and Shi YQ contributed equally to this study; Song ZJ, Shi YQ, and Zhao R were the patient’s surgeons, reviewed the literature, and contributed to manuscript drafting and revision for important intellectual content; Jiang YM, Liu K, Li Y, and Wang CG reviewed the literature and contributed to manuscript drafting; Song ZJ, Shi YQ, and Wang CG edited the surgical video; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ren Zhao, FACS, MD, PhD, Chief Doctor, Professor, Surgeon, Surgical Oncologist, Department of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, No. 999 Xiwang Road, Jiading District, Shanghai 201801, China. zhaorensurgeon@aliyun.com
Received: October 29, 2020 Peer-review started: October 29, 2020 First decision: December 8, 2020 Revised: December 22, 2020 Accepted: January 6, 2021 Article in press: January 6, 2021 Published online: March 6, 2021 Processing time: 123 Days and 0.8 Hours
Abstract
BACKGROUND
Pure natural orifice transluminal endoscopic surgery (NOTES) for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges, including loss of triangulation, in-line orientation, and instrument collision. Transvaginal (v) NOTES, however, can overcome these technical challenges. We report a case of pure vNOTES right hemicolectomy for colon cancer, attached with surgical video.
CASE SUMMARY
A 65-year-old woman with a 2-year history of intermittent diarrhea was diagnosed with ascending colon adenocarcinoma by colonoscopy and biopsy. Pure vNOTES right hemicolectomy was performed with complete mesocolic excision by well-experienced surgeons. The operative time was 200 min and the estimated blood loss was 30 mL. No intraoperative or postoperative complications occurred within 30 d after the surgery. The visual analog scale pain score on postoperative day 1 was 1 and dropped to 0 on postoperative days 2 and 3. The patient was discharged at postoperative day 6. The pathologic specimen had sufficient clear resection margins and 14 negative harvested lymph nodes.
CONCLUSION
vNOTES right hemicolectomy, performed by well-experienced surgeons, overcomes the technical challenges of pure NOTES and may be feasible for colon cancer.
Core Tip: Pure natural orifice transluminal endoscopic surgery (NOTES) for colon cancer is rarely used in clinical practice because of the complex surgical procedures, technical challenges, and ethical concerns. To the best of our knowledge, there has been no previous report on transvaginal (v) NOTES right hemicolectomy for colon cancer. In this paper, we report our preliminary clinical experience with successful pure vNOTES treatment of a 65-year-old woman with ascending colon adenocarci-noma.
