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Laparoscopic Upper Rectal Cancer Resection with Transvaginal Specimen Extraction (NOSES V)

  • Xishan Wang
  • Zheng Jiang
  • Qingchao Tang
Chapter

Abstract

NOSES V is mainly applied to patients with larger tumor in high rectum and distal sigmoid colon. The main operating procedures of NOSES V are as follows: dissecting specimen in the abdominal cavity, extracting specimen from vagina, and totally laparoscopic anastomosis between the sigmoid colon and rectum. Compared to NOSES IV, the main difference of NOSES V includes (1) broader indications of NOSES V due to anatomic ease of the vagina but only limited to female patients. (2) Only open a small cut on sigmoid colon above the tumor to insert the anvil, which minimizes abdominal contamination. As long as surgeons follow aseptic technique and non-touch principle, NOSES V is not only oncologically sound but also preserves organ function.

Copyright information

© Springer Nature Singapore Pte Ltd. and People's Medical Publishing House 2018

Authors and Affiliations

  • Xishan Wang
    • 1
  • Zheng Jiang
    • 1
  • Qingchao Tang
    • 2
  1. 1.Cancer Hospital Chinese Academy of Medical SciencesBeijingChina
  2. 2.The Second Affiliated Hospital of Harbin Medical UniversityHarbinChina

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