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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 28, 2014; 20(36): 12981-12992
Published online Sep 28, 2014. doi: 10.3748/wjg.v20.i36.12981
Published online Sep 28, 2014. doi: 10.3748/wjg.v20.i36.12981
Laparoscopic natural orifice specimen extraction-colectomy: A systematic review
Albert M Wolthuis, Anthony de Buck van Overstraeten, André D’Hoore, Department of Abdominal Surgery, University Hospital Leuven, 3000 Leuven, Belgium
Author contributions: Wolthuis AM and D’Hoore A designed the study; Wolthuis AM and de Buck van Overstraeten A performed the study; Wolthuis AM analyzed the data; Wolthuis AM, de Buck van Overstraeten A, and D’Hoore A wrote the paper.
Correspondence to: Albert M Wolthuis, MD, Department of Abdominal Surgery, University Hospital Leuven, Herestraat 49, 3000 Leuven, Belgium. albert.wolthuis@uzleuven.be
Telephone: +32-16-344265 Fax: +32-16-344832
Received: October 27, 2013
Revised: March 28, 2014
Accepted: April 27, 2014
Published online: September 28, 2014
Revised: March 28, 2014
Accepted: April 27, 2014
Published online: September 28, 2014
Core Tip
Core tip: Natural orifice specimen extraction (NOSE) will be the way forward to avoid abdominal wall incisions and reduce access trauma during laparoscopic colorectal resection. This systematic review addresses all aspects of NOSE in laparoscopic colorectal surgery and discusses the advantages and disadvantages of this technique. Moreover, a detailed discussion of all available studies concerning NOSE-procedures is given. Although different surgical techniques are being used, it is clear that worldwide experience with this minimally invasive procedure is increasing and that the barriers to the use of natural orifice transluminal endoscopic surgery procedures are decreasing.