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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2020, Vol. 09 ›› Issue (03): 222-225. doi: 10.3877/cma.j.issn.2095-3224.2020.03.002

Special Issue:

• Forum for Experts • Previous Articles     Next Articles

Interpretation of consensus of natural orifice specimen extraction surgery in colorectal neoplasms (2019)

Junhong Hu1, Xingwang Li1, Shican Zhou1, Xishan Wang2,()   

  1. 1. Department of Anorectal Surgery, Huaihe Hospital of Henan University, Kaifeng 475000, China
    2. Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2019-09-23 Online:2020-06-25 Published:2020-06-25
  • Contact: Xishan Wang
  • About author:
    Corresponding author: Wang Xishan, Email:

Abstract:

The Chinese Society of Colorectal Cancer updated and released "Consensus of natural orifice specimen extraction surgery in colorectal cancer" in 2019. The main revisions include: (1) Updated the concept of NOSES and clarified the dialectical relationship between NOSES, NOTES and TaTME. (2) The concept of bypass NOSES and like-NOSES is proposed. (3) The indications for NOSES were appropriately expanded, and the diameter of the circumference of the specimen was increased by 2 cm. (4) Added part of the specimen through the rectal incision and added the content of the NOSES I method F. (5) It can be used to treat colorectal cancer patients with high risk of recurrence, especially those with tumor invasion into serosa, lymph node metastasis, positive or suspicious free cancer cells in peritoneal lavage cytology, over extrusion or rupture of tumor during operation. This article interprets the main revisions of the 2019 edition of the consensus of natural orifice specimen extraction surgery in colorectal cancer.

Key words: Colorectal neoplasms, Natural orifice specimen extraction surgery, Expert consensus

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