Research Information System
ANNALS OF LAPAROSCOPIC AND ENDOSCOPIC SURGERY, vol.7, 2022 (ESCI)
Colorectal surgical procedures are frequently performed today. Improvements in technology and surgical techniques, increased experience, and proved better outcomes have provided colorectal surgery (CRS) to evolve from traditional open techniques to minimally invasive techniques. Laparoscopic approaches have many advantages compared to open approaches, and lesser abdominal wall trauma due to smaller incisions plays an important role in these advantages. But still, additional incisions may be needed for specimen extraction or anastomosis after laparoscopic resections, and these minimize the benefits of laparoscopy. Therefore, with the aim of reducing surgical incisions and related trauma, natural orifice specimen extraction surgery (NOSES) emerged. To date, NOSES has been performed with success in different benign and malignant colorectal diseases. Besides, the comparative studies showed its advantages over conventional laparoscopic surgery (CLS) in terms of postoperative pain, postoperative convalescence, length of hospital stay, and cosmesis. In the literature, most of the studies about NOSES for colorectal diseases focused on malignant indications and there is a paucity of published data on benign ones. Technically, NOSES seems to be safe and feasible to perform in all colorectal pathologies, but it can't be performed on all patients due to patient or specimen-related factors. Finally, it serves as an important transitional step towards achieving scarless surgery, which is the trend in modern surgical practice.