International consensus on natural orifice specimen extraction surgery (NOSES) for gastric cancer (2019)

Author:

Guan Xu1,Liu Zheng1,Parvaiz Amjad2,Longo Antonio3,Saklani Avanish4,Shafik Ali A5,Cai Jian-Chun6,Ternent Charles7,Chen Lin8,Kayaalp Cuneyt9,Sumer Fatih9,Nogueira Fernanda10,Gao Feng11,Han Fang-Hai12,He Qing-Si13,Chun Ho-Kyung14,Huang Chang-Ming15,Huang Hai-Yang1,Huang Rui11,Jiang Zhi-Wei16,Khan Jim S17,da Joaquim Manuel,Pereira Costa10,Nunoo-Mensah Joseph W18,Son Jung Tack14,Kang Liang19,Uehara Keisuke20,Lan Ping19,Li Le-Ping21,Liang Han22,Liu Bing-Rong23,Liu Juan24,Ma Dan25,Shen Ming-Yin26,Islam Mohammad Rashidul27,Samalavicius Narimantas Evaldas28,Pan Kai29,Tsarkov Petr30,Qin Xin-Yu31,Escalante Ricardo32,Efetov Sergey33,Jeong Seung Kyu34,Lee Suk-Hwan35,Sun Dong-Hui36,Sun Li37,Garmanova Tatiana30,Tian Yan-Tao38,Wang Gui-Yu11,Wang Guo-Jun39,Wang Guo-Rong40,Wang Xiao-Qiang40,Chen William Tzu-Liang26,Yong Lee Woo41,Yan Su42,Yang Zu-Li43,Yu Gang44,Yu Pei-Wu45,Zhao Dan37,Zhong Yun-Shi46,Wang Jian-Ping19,Wang Xi-Shan1

Affiliation:

1. 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, P. R. China

2. Poole Hospital NHS Trust, Poole, UK

3. European Center of Coloproctology and Pelvic Diseases-Multimedica Hospital, Milan, Italy

4. Department of GI Surgical Oncology, Tata Memorial Hospital, Mumbai, India

5. Department of Colorectal Surgery, Cairo University, Cairo, Egypt

6. Department of Gastrointestinal Surgery, Zhongshan Hospital of Xiamen University, Xiamen, Fujian, P. R. China

7. Section of Colon and Rectal Surgery, Creighton University School of Medicine, Omaha, NE, USA

8. Department of General Surgery, Chinese People’s Liberation Army General Hospital, Beijing, P. R. China

9. Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey

10. Department of Surgery, Hospital de Braga, Braga, Portugal

11. Department of Colorectal Cancer Surgery, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P. R. China

12. Department of Gastroenterological Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, P. R. China

13. Department of General Surgery, Shandong University Qilu Hospital, Jinan, Shandong, P. R. China

14. Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea

15. Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, P. R. China

16. Department of General Surgery, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu, P. R. China

17. Department of Colorectal Surgery, Portsmouth, Hospitals NHS, Trust, Queen Alexandra Hospital, Portsmouth, UK

18. King’s College Hospital, London, UK

19. Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, P. R. China

20. Division of Surgical Oncology, Department of Surgery, Nagoya University School of Medicine, Nagoya, Japan

21. Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, P. R. China

22. Department of Gastric Cancer, Tianjin Medical University Cancer Institute & Hospital, Tianjin, P. R. China

23. Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, P. R. China

24. Department of Obstetrics and Gynecology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, P. R. China

25. Department of General Surgery, Xinqiao, Hospital, Third Military Medical University, Chongqing, P. R. China

26. Department of Surgery, China Medical University Hospital, Taichung, Taiwan, China

27. Department of Surgery, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh

28. Department of Surgery, Klaipeda University Hospital, Klaipeda, Lithuania

29. Department of Gastrointestinal Surgery, Shenzhen People’s Hospital & Second Clinical Medical College of Jinan University, Shenzhen, Guangdong, P. R. China

30. Clinic of Colorectal and Minimally Invasive Surgery, Sechenov First Moscow State Medical University, Moscow, Russia

31. Department of General Surgery, Zhongshan, Hospital, Fudan University, Shanghai, P. R. China

32. Universidad Central de Venezuela, Centro, Medico Loira, Caracas, Venezuela

33. Colorectal Surgery Department, Sechenov First Moscow State Medical University, Moscow, Russia

34. Department of Surgery, Yang Hospital, Seoul, South Korea

35. Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, South Korea

36. Department of Gastric and Colorectal Surgery, Jilin University First Hospital, Changchun, Jilin, P. R. China

37. Department of Gynecologic Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P. R. China

38. Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P. R. China

39. Department of Gastrointestinal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, P. R. China

40. Department of General Surgery, Shanxi, Provincial, People’s, Hospital, The, Third Affiliated, Hospital, Medical College, Xi’an Jiao Tong University, Xi’an, Shaanxi, P. R. China

41. Department of surgery, Samsung Medical Center, Sungkyunkwan University, Seoul, South Korea

42. Department of Gastrointestinal Surgery, Qinghai University Affiliated Hospital, Xining, Qinghai, P. R. China

43. Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, P. R. China

44. Department of General Surgery, Qilu Hospital of Shandong University (Qingdao), Qingdao, Shandong, P. R. China

45. Department of General Surgery, Center of Minimal Invasive Gastrointestinal Surgery, Southwest, Hospital, Army Medical University (Third Military Medical University), Chongqing, P. R. China

46. Endoscopy Center and Endoscopy Research Institute, Zhongshan, Hospital, Fudan University, Shanghai, P. R. China

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology

Reference18 articles.

1. Laparoscopic natural orifice specimen extraction-colectomy: a systematic review;Wolthuis;World J Gastroenterol,2014

2. Retrospective study of 718 colorectal neoplasms treated by natural orifice specimen extraction surgery in 79 hospitals;Guan;Chin J Colorec Dis (Electronic Edition),2017

3. Natural orifice specimen extraction versus, conventional laparoscopically assisted right hemicolectomy;Park;Br J Surg,2011

4. Expert consensus of natural orifice specimen extraction surgery in colorectal neoplasm (2017 edition);Chin J Colorec Dis (Electronic Edition),2017

5. Laparoscopic gastrectomy and transvaginal specimen extraction in a morbidly obese patient with gastric cancer;Sumer;J Gastric Cancer,2016

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