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Updated: Jul 10, 2025

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
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[Transanal specimen extraction after left-sided laparoscopic colectomy: a systematic review and meta-analysis]
E N Ryadkova1, A F Mingazov1,2, S I Achkasov1,2
1Ryzhikh National Medical Research Center of Coloproctology, Moscow, Russia.
Khirurgiia
|November 27, 2023
Summary
Transanal specimen extraction in laparoscopic colectomy is safe and offers better short-term outcomes. This minimally invasive approach reduces pain and hospital stays without increasing complication risks compared to transabdominal extraction.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Outcomes Research
Background:
- Laparoscopic colectomy is a standard procedure for various colorectal conditions.
- Specimen extraction is a critical step, with transabdominal and transanal approaches being common.
- Optimizing short-term outcomes and patient recovery is a key focus in surgical innovation.
Conclusions:
- Transanal specimen extraction is a safe alternative for left-sided laparoscopic colectomy, not increasing complication risks.
- The transanal approach (NOSE technique) demonstrates superior short-term outcomes, including reduced pain and faster recovery.
- This technique offers potential benefits for patient recovery and hospital resource utilization.
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