Clinical trial NCT04394988: Total 102 Natural Orifice Specimen Extractions Following Laparoscopic Colorectal Resections
Official title: Total 102 Natural Orifice Specimen Extractions Following Laparoscopic Colorectal Resections
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Incisional Hernia
Incision Infection
Keywords: natural orifice surgery
minimally invasive surgery
colon cancer
laparoscopic colorectal
Lead sponsor: Inonu University
Sponsor class: OTHER
First posted: 2020-05-20
Enrollment: 102
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: patients who underwent laparoscopic-natural orifice colectomy at General Surgery Clinic in Inonu University between January 2013 and July 2018

Brief summary: In the development of surgical technique, laparoscopic surgery has created a major breaking point. Although laparoscopy (decreased hospital stay, decreased incisional hernia and wound infection rate...) provides a remarkable advantage compared to open surgery, the need for the extraction site incision could not bring the incision-related morbidity rates to the desired level. That's why SILS and natural hole surgery came to the fore. Colorectal surgery was also affected by this process, and the laparoscopic colectomy procedure combined with transrectal colon extraction was first performed in 1993 (1). Although its use increased gradually after this period, it could not reach the expected levels and this could not resolve the concerns on natural hole surgery.

In this article, our aim is to present the single center results of the patients who performed the extraction with the NOSE method after laparoscopic colorectal surgery.


Eligibility criteria: Inclusion Criteria:

* patients who underwent laparoscopic - natural orifice colectomy.

Exclusion Criteria:

* patients with missing data
* patients who underwent open colectomy

Primary outcomes:
measure: complications due to incision and aesthetic score
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Malatya
country: Turkey
facility: Inonu University
Study officials:
affiliation: Inonu University
name: Ersin Gundogan, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gundogan E, Aktas A, Kayaalp C, Gonultas F, Sumer F. Two cases of laparoscopic total colectomy with natural orifice specimen extraction and review of the literature. Wideochir Inne Tech Maloinwazyjne. 2017 Sep;12(3):291-296. doi: 10.5114/wiitm.2017.69227. Epub 2017 Jul 27.
citation: Kayaalp C, Kutluturk K, Yagci MA, Ates M. Laparoscopic right-sided colonic resection with transluminal colonoscopic specimen extraction. World J Gastrointest Endosc. 2015 Sep 10;7(12):1078-82. doi: 10.4253/wjge.v7.i12.1078.
citation: Karagul S, Kayaalp C, Sumer F, Ertugrul I, Kirmizi S, Tardu A, Yagci MA. Success rate of natural orifice specimen extraction after laparoscopic colorectal resections. Tech Coloproctol. 2017 Apr;21(4):295-300. doi: 10.1007/s10151-017-1611-2. Epub 2017 Apr 26.
citation: Awad ZT, Griffin R. Laparoscopic right hemicolectomy: a comparison of natural orifice versus transabdominal specimen extraction. Surg Endosc. 2014 Oct;28(10):2871-6. doi: 10.1007/s00464-014-3540-8. Epub 2014 May 2.
citation: Gundogan E, Kayaalp C, Alinak Gundogan G, Sumer F. Total 102 natural orifice specimen extraction following laparoscopic colorectal resections. Updates Surg. 2023 Jan;75(1):197-203. doi: 10.1007/s13304-022-01412-4. Epub 2022 Nov 1.