LAPAROSCOPIC LEFT-SIDED HEMICOLECTOMY WITH SPECIMEN EXTRACTION USING THE NOSE TECHNIQUE
Keywords:
laparoscopy, laparoscopic hemicolectomy, NOSE, intracorporeal formation of intestinal anastomosis, transanal access, postoperative painAbstract
Objective. To evaluate the immediate and long-term outcomes of surgical treatment in patients with abdominal diseases after performing laparoscopic left-sided hemicolectomy with transanal extraction of the resected specimen using the NOSE technique.
Materials and Methods. The article discusses in detail the first clinical case—a patient with pathology of the left parts of the colon and dolichosigmoid, for which he underwent a laparoscopic surgery—left-sided hemicolectomy with transanal extraction of the resected specimen, with intracorporeal anastomosis formation. The first stage involved a left-sided hemicolectomy performed using the original combined latero-medial method. Over 4 months, 5 similar surgical procedures were carried out, the results of which are presented in the article.
Results. The average duration of the operation was 233±12.9 minutes. Intraoperative blood loss did not exceed 90-100 ml. It was possible to preserve the colonic fascia in all 5 cases. No intraoperative complications were noted. The level of postoperative pain ranged from 0 to 1.
Conclusion. Transanal access is the ideal method for extracting the resected specimen in colon surgeries due to the anatomical and physiological features of this area.
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