Laparoscopic radical right hemicolectomy with specimen extraction via transverse colon without auxiliary abdominal incision： a case report

doi:10.3877/cma.j.issn.2095-3224.2025.03.012

Abstract

Abstract:

Colorectal cancer is one of the most common malignant tumors in China， and its treatment is mainly based on surgical operation， combined with radiotherapy， chemotherapy and targeted therapy. In recent years， natural orifice specimen extraction surgery（NOSES） has attracted much attention in the field of minimally invasive surgery， and its therapeutic value for colorectal tumors is increasingly significant. This article reports a case of laparoscopic right hemicolectomy with specimen extraction through the anus without abdominal auxiliary incision， and analyzes and discusses the technical concept and key points of this operation.

Key words: Colorectal neoplasms, Laparoscopic surgery, Natural orifice specimen extraction surgery (NOSES), Transverse colon specimen extraction surgery, Radical right hemicolectomy

Jinqiang Chen, Junming Zhang, Yongshan Huang, Jinyuan Duan. Laparoscopic radical right hemicolectomy with specimen extraction via transverse colon without auxiliary abdominal incision： a case report[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2025, 14(03): 284-288.

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［1］	Morgan E， Arnold M， Gini A， et al. Global burden of colorectal cancer in 2020 and 2040: incidence and mortality estimates from GLOBOCAN［J］. Gut， 2023， 72（2）: 338-344.
［2］	郑荣寿，陈茹，韩冰峰，等. 2022年中国恶性肿瘤流行情况分析［J］. 中华肿瘤杂志， 2024， 46（3）: 221-231.Zheng RS， Chen R， Han BF， et al. Cancer incidence and mortality in China， 2022［J］. Chin J Oncol， 2024， 46（3）: 221-231.
［3］	Giday SA， Kantsevoy SV， Kalloo AN. Principle and history of natural orifice translumenal endoscopic surgery（NOTES）［J］. Minim Invasive Ther Allied Technol， 2006， 15（6）: 373-377.
［4］	王锡山. 从中美结直肠癌流行病学特征看结直肠癌早诊早治的重要性［J/OL］.中华结直肠疾病电子杂志， 2021， 10（1）: 26-33.Wang XS. Discussion of the importance of early diagnosis and treatment of colorectal cancer from the epidemiological characteristics of colorectal cancer in China and United States of America［J/OL］.Chin J Colorec Dis（Electronic Edition）， 2021， 10（1）: 26-33.
［5］	高畅远，周海涛. “微创中的微创”——结直肠肿瘤NOSES的发展与应用［J］. 肿瘤防治研究， 2024， 51（8）: 642-647.Gao CY， Zhou HT. Minimally invasive surgery within minimally invasive surgery: development and application of natural orifice specimen extraction surgery for colorectal tumors［J］. Cancer Research on Prevention and Treatment， 2024， 51（8）: 642-647.
［6］	韩彩文，王涛，段耀星，等. 结直肠癌NOSES标本取出的途径: 争议、现状、挑战及展望［J］.中国现代普通外科进展， 2024， 27（1）:47-50.Han CW， Wang T， Duan YX， et al. Approaches to specimen removal by NOSES in colorectal cancer: controversies， current situation，challenges and prospects［J］. Chinese Journal of Current Advances in General Surgery， 2024， 27（1）: 47-50.
［7］	王锡山. 结直肠肿瘤NOSES术关键问题的思考与探索［J/CD］. 中华结直肠疾病电子杂志， 2018， 7（4）: 315-319.Wang XS. Consideration and exploration of key issues in NOSES for colorectal cancer［J/CD］. Chin J Colorec Dis（Electronic Edition）， 2018，7（4）: 315-319.
［8］	中国医师协会结直肠肿瘤专业委员会，中国抗癌协会大肠癌专业委员会，中国NOSES联盟. 结直肠肿瘤经自然腔道取标本手术指南（2023版）［J/OL］. 中华结直肠疾病电子杂志， 2023， 12（2）: 89-99.Colorectal Cancer Professional Committee of the Chinese Medical Doctor Association， Colorectal Cancer Professional Committee of the China Anti-Cancer Association， China NOSES Alliance. Guidelines for natural orifice specimen extraction surgery in colorectal neoplasm （V.2023）［J/OL］. Chin J Colorec Dis（Electronic Edition）， 2023， 12（2）: 89-99.
［9］	李月刚，关旭，赵志勋，等. 结直肠癌NOSES手术的国际研究现状［J/OL］. 中华结直肠疾病电子杂志， 2024， 13（4）: 321-328.Li YG， Guan X， Zhao ZX， et al. Current international research status of NOSES surgery for colorectal cancer［J/OL］. Chin J Colorec Dis（Electronic Edition）， 2024， 13（4）: 321-328.
［10］	Xavier RG， Ke TW， Chen WT. Transvaginal natural orifice specimen extraction surgery for left-sided colorectal resection: a single-centre cohort study［J］. J Minim Access Surg， 2025， 21（1）: 51-59.

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