Laparoscopic and natural orifice transluminal restorative proctocolectomy: no abdominal incision for specimen extraction or ileostomy

Laparoscopic and natural orifice transluminal restorative proctocolectomy: no abdominal incision for specimen extraction or ileostomy

The aim of this study was to demonstrate the feasibility of laparoscopic restorative proctocolectomy (LRPC) without additional abdominal incisions. Two sisters with familial adenomatous polyposis were enrolled. The colon and rectum were mobilized entirely through the five abdominal trocars. The terminal ileum and distal rectum were transected with endoscopic staplers. The entire colorectal spec...

commentary on laparoscopic restorative proctocolectomy without diverting ileostomy

Immunological Response of Postcholecystectomy: Single Incision Laparoscopic Surgery (SILS) vs Natural Orifice Transluminal Endoscopic Surgery (NOTES)

Introduction: Surgery evokes complex metabolic, neuroendocrine and immunological responses. These are reparatory but when exaggerated may cause immunosuppression with morbidity and mortality. It is well-known that these responses are attenuated in laparoscopic cholecystectomy, which is the gold standard for treatment of cholelithiasis. Current novel minimal access techniques of natural orifice ...

Laparoscopic gastric resection with natural orifice specimen extraction for postulcer pyloric stenosis

Although natural orifice specimen extraction is now relatively widely performed, there have been no reports on gastric resection with specimen extraction through the transgastric route for peptic ulcer disease. A hybrid technique of the laparoscopic and endoscopic approach is presented in the case of a 58-year old male patient. Preoperative gastric fibroscopy showed postulcer pyloric and antral...

Experimental foundation for natural orifice transluminal endoscopic surgery and hybrid natural orifice transluminal endoscopic surgery.

Natural orifice transluminal endoscopic surgery (NOTES) is one of the most exciting concepts that has emerged recently in the surgical field. All accesses to the abdominal cavity in the porcine model using natural orifices, e.g. transgastric, transvesical, transcolonic and transvaginal, have been described and explored. The experimental feasibility of all procedures by NOTES was successfully de...