International consensus on natural orifice specimen extraction surgery

Abstract

At present, natural orifice specimen extraction surgery (NOSES) has attracted more and more attention worldwide, because of its great advantages including minimal cutaneous trauma and post-operative pain, fast post-operative recovery, short hospital stay, and positive psychological impact. However, NOSES for the treatment of gastric cancer (GC) is still in its infancy, and there is great potential to improve its theoretical system and clinical practice. Especially, several key points including oncological outcomes, bacteriological concerns, indication selection, and standardized surgical procedures are raised with this innovative technique. Therefore, it is necessary to achieve an international consensus to regulate the implementation of GC-NOSES, which is of great significance for healthy and orderly development of NOSES worldwide.

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[Parvaiz, Amjad] Poole Hosp NHS Trust, Poole, Dorset, England.

[Longo, Antonio] European Ctr Coloproctol & Pelv Dis Multimed Hosp, Milan, Italy.

[Saklani, Avanish] Tata Mem Hosp, Dept GI Surg Oncol, Mumbai, Maharashtra, India.

[Shafik, Ali A.] Cairo Univ, Dept Colorectal Surg, Cairo, Egypt.

[Cai, Jian-Chun] Xiamen Univ, Dept Gastrointestinal Surg, Zhongshan Hosp, Xiamen, Fujian, Peoples R China.

[Ternent, Charles] Creighton Univ, Sch Med, Sect Colon & Rectal Surg, Omaha, NE USA.

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[Kayaalp, Cuneyt; Sumer, Fatih] Inonu Univ, Dept Gastrointestinal Surg, Malatya, Turkey.

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[Han, Fang-Hai] Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Gastroenterol Surg, Guangzhou, Guangdong, Peoples R China.

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[Khan, Jim S.] Portsmouth Hosp NHS Trust, Queen Alexandra Hosp, Dept Colorectal Surg, Portsmouth, Hants, England.

[Nunoo-Mensah, Joseph W.] Kings Coll Hosp London, London, England.

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[Uehara, Keisuke] Nagoya Univ, Dept Surg, Div Surg Oncol, Sch Med, Nagoya, Aichi, Japan.

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[Zhong, Yun-Shi] Fudan Univ, Zhongshan Hosp, Endoscopy Res Inst, Shanghai, Peoples R China.