Laparoscopic NOSE colectomy with a camera sleeve: a technique in evolution.

Area of Science:

• Minimally invasive surgery
• Colorectal surgery
• Surgical techniques

Background:

• Natural orifice specimen extraction (NOSE) minimizes abdominal trauma.
• Specimen retrieval during NOSE can be challenging due to specimen size.
• Existing methods may present difficulties in extracting larger specimens.

Purpose of the Study:

• To demonstrate the feasibility of laparoscopic NOSE colectomy utilizing a camera sleeve.
• To present a technical note supported by video documentation.
• To compare camera sleeve extraction with traditional specimen retrieval bags.

Main Methods:

• A retrospective review of patients undergoing laparoscopic NOSE colectomy over a 9-month period.
• Comparison of outcomes between camera sleeve extraction and specimen retrieval bag extraction.
• Inclusion of all consecutive patients who underwent the procedure.

Main Results:

• Eight patients underwent NOSE colectomy with a camera sleeve, compared to nine with a specimen retrieval bag.
• Patient demographics and operative details were comparable between the groups.
• No conversions to open surgery were required, and median hospital stay was 4 days for both groups.

Conclusions:

• Laparoscopic NOSE colectomy with a camera sleeve is a feasible surgical approach.
• Further research is needed to determine if this technique expands indications for left-sided colonic resections.
• The camera sleeve technique shows potential for improving specimen retrieval in NOSE colectomy.