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Related Experiment Video

Updated: May 12, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Published on: March 24, 2023

Transvaginal pure NOTES sigmoid resection using a single port device.

M D'Hondt¹, D Devriendt, F Van Rooy

¹Department of Digestive Surgery, Groeninge Hospital Kortrijk, Pres. Kennedylaan 4, 8500, Kortrijk, Belgium, mathieudhondt2000@yahoo.com.

Techniques in Coloproctology

|April 9, 2013

Summary

Transvaginal natural orifice transluminal endoscopic surgery (NOTES) colectomy is a safe and feasible approach for treating sigmoid volvulus. This single-port transvaginal technique offers a minimally invasive option for colonic resection.

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

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Published on: September 11, 2021

Area of Science:

Minimally invasive surgery
Gastroenterology
Surgical innovation

Background:

Natural orifice transluminal endoscopic surgery (NOTES) adoption is growing.
Many published NOTES procedures are hybrid, incorporating traditional surgical techniques.
Colonic resections via NOTES have predominantly utilized hybrid approaches.

Observation:

An 84-year-old female with symptomatic sigmoid colon volvulus underwent endoscopic detorsion and desufflation.
A complete sigmoid resection was performed using a single-port device entirely through a transvaginal route.
The procedure was completed in 135 minutes with no intraoperative or postoperative complications.

Findings:

The patient required minimal narcotic analgesia post-procedure.
Oral intake was resumed on postoperative day 3.
At 2-month follow-up, no complications or recurrent volvulus were noted.

Implications:

Transvaginal NOTES sigmoid colectomy is a viable and safe alternative for sigmoid volvulus.
This approach demonstrates the potential for NOTES in complete colonic resections.
Further research into transvaginal NOTES for colonic surgery is warranted.