Laparoscopic-assisted sigmoidectomy with transanal specimen extraction: a bridge to NOTES?

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Minimally invasive sigmoidectomy aims to reduce surgical site complications.
• Conventional laparoscopic surgery often requires a specimen extraction incision.
• Natural orifice specimen extraction is an emerging technique.

Observation:

• This study details a laparoscopic sigmoidectomy technique.
• Specimen extraction is performed transanally using a proctoscope.
• This approach avoids a separate abdominal wall incision.

Findings:

• Laparoscopic sigmoidectomy with transanal specimen removal is technically feasible.
• The technique effectively removes the sigmoid specimen through the anus.
• No abdominal wall extraction incision is needed.

Implications:

• Transanal specimen removal may decrease wound-related complications in laparoscopic sigmoidectomy.
• This approach offers a valuable alternative to conventional minimally invasive sigmoidectomy.
• Consideration for patients with sigmoid or left colon pathology.