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Technische Aspekte der NOTES-Sigmaresektion

Drei Operationsvarianten

Technical aspects of NOTES sigma resection

Three operative variants

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coloproctology Aims and scope

Zusammenfassung

NOTES („natural orifice transluminal endoscopic surgery“) ist als Hybridtechnik mit transvaginaler oder transrektaler Bergung in klinischer Erprobung in der kolorektalen Chirurgie. Eine besondere Herausforderung stellt die Anastomosentechnik dar, die entweder extrakorporal vorbereitet (transvaginaler Zugang) oder komplett intrakorporal (transvaginal oder transrektal) angelegt werden kann. Mittels dieser Methoden kann das Zugangstrauma weiter reduziert werden.

Abstract

Natural orifice transluminal endoscopic surgery (NOTES) is gaining increasing momentum in colorectal surgery as a hybrid technique for transvaginal and transrectal specimen retrieval. The major technical challenge is the anastomosis which can be prepared extracorporeally (transvaginal) or can be constructed totally intracorporeally (transvaginal or transrectal). These innovative techniques allow further reduction of access trauma.

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Literatur

  1. Akamatsu H, Omori T, Oyama T et al (2009) Totally laparoscopic low anterior resection for lower rectal cancer: combination of a new technique for intracorporeal anastomosis with prolapsing technique. Dig Surg 26:446–450

    Article  PubMed  Google Scholar 

  2. Alba Mesa F, Amaya Cortijo A, Romero Fernandez JM et al (2012) Transvaginal sigmoid cancer resection: first case with 12 months of follow-up–technique description. J Laparoendosc Adv Surg Tech A 22(6):587–590

    Article  Google Scholar 

  3. Abrao MS, Sagae UE, Gonzales M et al (2005) Treatment of rectosigmoid endometriosis by laparoscopically assisted vaginal rectosigmoidectomy. Int J Gynaecol Obstet 91:27–31

    Article  PubMed  CAS  Google Scholar 

  4. Boni L, Tenconi S, Beretta P et al (2007) Laparoscopic colorectal resections with transvaginal specimen extraction for severe endometriosis. Surg Oncol 16(Supp 1):157–160

    Article  Google Scholar 

  5. Breitenstein S, Dedes KJ, Bramkamp M et al (2006) Synchronous laparoscopic sigmoid resection and hysterectomy with transvaginal specimen removal. J Laparoendosc Adv Surg Tech 16(3):286–289

    Article  Google Scholar 

  6. Camara O, Herrmann J, Egbe A et al (2009) Treatment of endometriosis of uterosacral ligament and rectum through the vagina: description of a modified technique. Hum Reprod 24:1407–1413

    Article  PubMed  CAS  Google Scholar 

  7. Cheung HY, Leung AL, Chung CC et al (2009) Endo-laparoscopic colectomy without mini-laparotomy for left-sided colonic tumors. World J Surg 33:1287–1291

    Article  PubMed  Google Scholar 

  8. Cheung TP, Cheung HY, Ng LW et al (2012) Hybrid NOTES colectomy for right-sided colonic tumors. Asian J Endosc Surg 5:46–49

    Article  PubMed  CAS  Google Scholar 

  9. Choi GS, Park IJ, Kang BM et al (2009) A novel approach of robotic-assisted anterior resection with transanal or transvaginal retrieval of the specimen for colorectal cancer. Surg Endosc 23:2831–2835

    Article  PubMed  Google Scholar 

  10. Diana M, Perretta S, Wall J et al (2011) Transvaginal specimen extraction in colorectal surgery: current state of the art. Colorectal Dis 13:e104–111

    Article  PubMed  CAS  Google Scholar 

  11. Dostalík J, Gunková P, Martínek L et al (2012) NOSE (Natural Orifice Specimen Extraction) in laparoscopic colorectal surgery. Rozhl Chir 91:141–145

    PubMed  Google Scholar 

  12. Ebert AD, Burkhardt T, Parlayan S et al (2009) Transvaginal-laparoscopic anterior rectum resection in a hysterectomized woman with deep-infiltrating endometriosis: description of a gynecologic natural orifice transendoluminal surgery approach. J Minim Invasive Gynecol 16(2):231–235

    Article  PubMed  Google Scholar 

  13. García Flórez LJ, Argüelles J, Quijada B et al (2010) Transvaginal specimen extraction in a laparoscopic anterior resection of a sigmoid colon neoplasia with en bloc right salpingo-oophorectomy. Tech Coloproctol 14:161–163

    Article  Google Scholar 

  14. Ghezzi F, Cromi A, Ciravolo G et al (2008) A new laparoscopic-transvaginal technique for rectosigmoid resection in patients with endometriosis. Fertil Steril 90:1964–1968

    Article  PubMed  Google Scholar 

  15. http://www.dgav.de/Notes.html

  16. Jerby BL, Kessler H, Falcone T, Milsom JW (1999) Laparoscopic management of colorectal endometriosis. Surg Endosc 13:1125–1128

    Article  PubMed  CAS  Google Scholar 

  17. Kalloo AN, Singh VK, Jagannath SB et al (2004) Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc 60:114–117

    Article  PubMed  Google Scholar 

  18. Lacy AM, Delgado S, Rojas OA et al (2008) MA-NOS radical sigmoidectomy: report of a transvaginal resection in the human. Surg Endosc 22:1717–1723

    Article  PubMed  Google Scholar 

  19. Lehmann KS, Ritz JP, Wibmer A et al (2010) The German registry for natural orifice translumenal endoscopic surgery: report of the first 551 patients. Ann Surg 252:263–270

    Article  PubMed  Google Scholar 

  20. Knol J, D’Hondt M, Dozois EJ et al (2009) Laparoscopic-assisted sigmoidectomy with transanal specimen extraction: a bridge to NOTES? Tech Coloproctol 13:65–68

    Article  PubMed  CAS  Google Scholar 

  21. Linke GR, Luz S, Janczak J et al (2012) Evaluation of sexual function in sexually active women 1 year after transvaginal NOTES: a prospective cohort study of 106 patients. Langenbecks Arch Surg

  22. Nishimura A, Kawahara M, Suda K et al (2011) Totally laparoscopic sigmoid colectomy with transanal specimen extraction. Surg Endosc 25:3459–3463

    Article  PubMed  Google Scholar 

  23. Park JS, Choi GS, Kim HJ et al (2011) Natural orifice specimen extraction versus conventional laparoscopically assisted right hemicolectomy. Br J Surg 98:710–715

    Article  PubMed  CAS  Google Scholar 

  24. Rattner D (2006) Introduction to NOTES White Paper. Surg Endosc 20:185

    Article  PubMed  CAS  Google Scholar 

  25. Saad S, Hosogi H (2010) Natural orifice specimen extraction for avoiding laparotomy in laparoscopic left colon resections: a new approach using the McCartney tube and the tilt top anvil technique. J Laparoendosc Adv Surg Tech A 20(8):689–692

    Article  PubMed  Google Scholar 

  26. Sanchez JE, Rasheid SH, Krieger BR et al (2009) Laparoscopic-assisted transvaginal approach for sigmoidectomy and rectocolpopexy. JSLS 13:217–220

    PubMed  Google Scholar 

  27. Tarantino I, Linke GR, Lange J et al (2011) Transvaginal rigid-hybrid natural orifice transluminal endoscopic surgery technique for anterior resection treatment of diverticulitis: a feasibility study. Surg Endosc 25:3034–3042

    Article  PubMed  Google Scholar 

  28. Tuech JJ, Bridoux V, Kianifard B et al (2011) Natural orifice total mesorectal excision using transanal port and laparoscopic assistance. Eur J Surg Oncol 37:334–335

    Article  PubMed  Google Scholar 

  29. Wolthuis AM, Penninckx F, D’Hoore A (2011) Laparoscopic sigmoid resection with transrectal specimen extraction has a good short-term outcome. Surg Endosc 25:2034–2038

    Article  PubMed  Google Scholar 

  30. Zhang H, Zhang YS, Jin XW et al (2012) Transanal single-port laparoscopic total mesorectal excision in the treatment of rectal cancer. Tech Coloproctols

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- Interessenkonflikt

Der korrespondierende Autor weist für sich und seine Koautoren auf folgende Beziehungen hin: Honorare und Reisekostenübernahmen durch die Firmen Ethicon, Covidien, Aesculap, Storz.

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  1. Klinik für Allgemein-, Visceral- und Kinderchirurgie, Schwarzwald Baar-Klinikum, Vöhrenbacherstr. 20, 78050, Villingen-Schwenningen, Deutschland

    S. Müller, S. Kees &  N. Runkel

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  1. S. Müller
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  2. S. Kees
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  3. N. Runkel
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Correspondence to N. Runkel.

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Müller, S., Kees, S. & Runkel, N. Technische Aspekte der NOTES-Sigmaresektion. coloproctology 35, 16–21 (2013). https://doi.org/10.1007/s00053-012-0322-4

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  • DOI: https://doi.org/10.1007/s00053-012-0322-4

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