Pure transvaginal natural orifice transluminal endoscopic surgery right hemicolectomy for colon cancer:A case report  

作　　者：Zi-Jia Song Yi-Qing Shi Yi-Mei Jiang Kun Liu You Li Chang-Gang Wang Ren Zhao 

机构地区：[1]Department of General Surgery,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 201801,China

出　　处：《World Journal of Clinical Cases》2021年第7期1714-1719,共6页世界临床病例杂志

摘　　要：BACKGROUND Pure natural orifice transluminal endoscopic surgery(NOTES)for colorectal cancer is a complex procedure and rarely used in clinical practice because of the ethical concerns and technical challenges,including loss of triangulation,in-line orientation,and instrument collision.Transvaginal(v)NOTES,however,can overcome these technical challenges.We report a case of pure vNOTES right hemicolectomy for colon cancer,attached with surgical video.CASE SUMMARY A 65-year-old woman with a 2-year history of intermittent diarrhea was diagnosed with ascending colon adenocarcinoma by colonoscopy and biopsy.Pure vNOTES right hemicolectomy was performed with complete mesocolic excision by well-experienced surgeons.The operative time was 200 min and the estimated blood loss was 30 mL.No intraoperative or postoperative complications occurred within 30 d after the surgery.The visual analog scale pain score on postoperative day 1 was 1 and dropped to 0 on postoperative days 2 and 3.The patient was discharged at postoperative day 6.The pathologic specimen had sufficient clear resection margins and 14 negative harvested lymph nodes.CONCLUSION vNOTES right hemicolectomy,performed by well-experienced surgeons,overcomes the technical challenges of pure NOTES and may be feasible for colon cancer.

关 键 词：Natural orifice transluminal endoscopic surgery Colon cancer Right hemicolectomy Complete mesocolic excision Surgical video Case report 

分 类 号：R735.35[医药卫生—肿瘤]