Abstract
Total colectomy is one of the most difficult and complex techniques in colorectal surgery involving complex surgical procedures and a wide resection range. Compared with conventional laparoscopic total colectomy, the main differences of NOSES X lie in the digestive tract reconstruction and the route of specimen extraction. The main operating features of this procedure include complete laparoscopic total colectomy, specimen extraction from the vagina, and totally laparoscopic side-to-end anastomosis between the terminal ileum and rectum. Compared with NOSES IX, the procedure of NOSES X has a wider indication. In addition, this technique reduces the exposure of bowel within the abdominal cavity, which may reduce the risk of infection. The safe and orderly implementation of NOSES X requires the surgeons to have a solid anatomical understanding and clear surgical thinking.
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© 2021 People's Medical Publishing House, PR of China
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Wang, X., Jiang, Z., Yang, R. (2021). Laparoscopic Total Colectomy with Transvaginal Specimen Extraction (CRC-NOSES X). In: Wang, X. (eds) Natural Orifice Specimen Extraction Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-15-7925-7_20
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DOI: https://doi.org/10.1007/978-981-15-7925-7_20
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Online ISBN: 978-981-15-7925-7
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