International consensus on natural orifice specimen extraction surgery

Abstract

In recent years, natural orifice specimen extraction surgery (NOSES) in the treatment of colorectal cancer has attracted widespread attention. The potential benefits of NOSES including reduction in postoperative pain and wound complications, less use of postoperative analgesic, faster recovery of bowel function, shorter length of hospital stay, better cosmetic and psychological effect have been described in colorectal surgery. Despite significant decrease in surgical trauma of NOSES have been observed, the potential pitfalls of this technique have been demonstrated. Particularly, several issues including bacteriological concerns, oncological outcomes and patient selection are raised with this new technique. Therefore, it is urgent and necessary to reach a consensus as an industry guideline to standardize the implementation of NOSES in colorectal surgery. After three rounds of discussion by all members of the International Alliance of NOSES, the consensus is finally completed, which is also of great significance to the long-term progress of NOSES worldwide.

C1 [Guan, Xu; Liu, Zheng; Zhou, Hai-Tao; Wang, Xi-Shan] Chinese Acad Med Sci, Dept Colorectal Surg, Natl Canc Ctr, Natl Clin Res Ctr Canc,Canc Hosp, Beijing 100021, Peoples R China.

[Guan, Xu; Liu, Zheng; Zhou, Hai-Tao; Wang, Xi-Shan] Peking Union Med Coll, Beijing 100021, Peoples R China.

[Longo, Antonio] Humanitas Gavazzeni, Dept Coloproctol & Pelv Dis, Bergamo, Italy.

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

[Tzu-Liang, William; Shen, Ming-Yin] China Med Univ Hosp, Dept Surg, Taichung, Taiwan.

[Chen, Lu-Chuan] Fujian Med Univ, Dept Abdominal Surg, Canc Hosp, Fuzhou, Fujian, Peoples R China.

[Chen, Ho-Kyung; Son, Jung-Tack] Sungkyunkwan Univ, Kangbuk Samsung Hosp, Dept Surg, Sch Med, Seoul, South Korea.

[da Costa Pereira, Joaquim Manuel; Nogueira, Fernanda] Hosp Braga, Dept Surg, Braga, Portugal.

[Efetov, Sergey] Sechenov First Moscow State Med Univ, Colorectal Surg Dept, Moscow, Russia.

[Escalante, Ricardo] Univ Cent Venezuela, Ctr Med Loira, Caracas, Venezuela.

[He, Qing-Si] Shandong Univ, Dept Gen Surg, Qilu Hos, Jinan, Shandong, Peoples R China.

[Hu, Jun-Hong] Henan Univ, Dept Gen Surg, Huaihe Hosp, Kaifeng, Peoples R China.

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

[Kim, Seon-Hahn] Korea Univ, Coll Med, Dept Surg, Anam Hosp, Seoul, South Korea.

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

[Kuo, Li-Jen] Taipei Med Univ Hosp, Div Colorectal Surg, Taipei, Taiwan.

[Nishimura, Atsushi] Nagaka Chuo Gen Hosp, Dept Surg, Nagaoka, Niigata, Japan.

[Okuda, Junji] Osaka Med Coll Hosp Canc Ctr, Innovat Unit Colorectal Canc, Osaka, Japan.

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

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

[Song, Jun-Min] Zhengzhou Univ, Affiliated Hosp 1, Dept Anorectal Surg, Zhengzhou, Henan, Peoples R China.

[Sun, Dong-Hui] Jilin Univ, Dept Gastr & Colorectal Surg, Hosp 1, Changchun, Jilin, Peoples R China.

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

[Wang, Gui-Yu] Harbin Med Univ, Dept Colorectal Canc Surg, Affiliated Hosp 2, Harbin, Heilongjiang, Peoples R China.

[Wei, Ye] Fudan Univ, Zhongshan Hosp, Dept Gen Surg, Shanghai, Peoples R China.

[Xiong, Zhi-Guo] Hubei Prov Canc Hosp, Dept Gastrointestinal Surg, Wuhan, Hubei, Peoples R China.

[Yao, Hong-Liang] Cent S Univ, Xiangya Hosp 2, Dept Gen Surg, Changsha, Hunan, Peoples R China.

[Yu, Gang] Binzhou Med Coll, Peoples Hosp Linzi Dist, Dept Surg, Zibo, Peoples R China.

[Yu, Shao-Jun] Zhejiang Univ, Affiliated Hosp 2, Dept Surg Oncol, Sch Med, Hangzhou, Zhejiang, Peoples R China.

[Lee, Suk-Hwan] Kyung Hee Univ, Kyung Hee Univ Hosp Gangdong, Dept Surg, Sch Med, Seoul, South Korea.

[Tsarkov, Petr, V] Sechenov First Moscow State Med Univ, Clin Colorectal & Minimally Invas Surg, Moscow, Russia.

[Fu, Chuan-Gang] Tongji Univ, Shanghai East Hosp, Dept Gastrointestinal Surg, Sch Med, Shanghai, Peoples R China.