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conferenceseries
.com
Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Bariatric Surgery 2018 & Gastro 2018
March 15-16, 2018
JOINT EVENT
12
th
Global Gastroenterologists Meeting
3
rd
International Conference on Metabolic and Bariatric Surgery
&
March 15-16, 2018 Barcelona, Spain
Transvaginal specimen extraction for colorectal cancer surgery; hybrid laparoscopical approach
Silvestrov Maksym
Spizhenko Cancer Clinic, Kyiv, Ukraine
N
atural orifice transluminal endoscopic surgery (NOTES) is surgical technique whereby "scarless" abdominal operations can be
performed with an endoscope passed through a natural orifice (mouth, urethra, anus etc.). Laparoscopy can minimize external
incision and scars but can’t avoid damage of abdominal wall for specimen extraction. Since 2015 we perform hybrid technique for
women, when after laparoscopical colon or upper rectal cancer resection specimen had extracted through vaginal fornix.
Methodology:
From October 2015 to October 2017 we performed 10 laparoscopic resections with transvaginal specimen extraction
for women with colorectal cancer: 7 - for sigmoid cancer and 3 - for rectal cancer (all rectal with standard TME (Total mesorectal
excision)). All patients were cured with standard cancer treatments protocols.
Results:
The average hospital stay was 4.2 days (range 3 to 5). We had no any wound complication or local recurrence in vaginal
fornix. We don’t use opioid analgesics in postoperative period. All resection was R0.
Conclusions:
Use of hybrid technique can avoid abdominal wall damage and result fast recovery with good cosmetics. It seems safe
but late oncological outcomes needs to be investigated.
Biography
Silvestrov Maksym has completed National Medical University in Kyiv in 2004. He has completed specialization in General Surgery in 2006; specialization in
Surgical Oncology. 2009. He was a Surgeon at Zina Memorial Lissod Cancer Hospital from the period 2009-2014. He is the Head of Surgical Department, Innovacia
Cancer Centre and Spizhenko Cancer Center, Kyiv, Ukraine. He has published documents in laparoscopic treatments for general surgery and oncological surgery
procedures. He has participated in many national and international congresses.
silvestrov@ukr.netSilvestrov Maksym, J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C1-064