title: Hybrid NOTES colectomy for right-sided colonic tumors.
abstract: BACKGROUND
  Given the limitation of surgical access and instrumentation, pure NOTES technique currently appears challenging for colorectal surgery. As such, we would like to determine the technical feasibility and clinical results of hybrid NOTES right hemicolectomy with transrectal extraction of specimen.
  
  
  METHODS
  After the right-sided colon was fully mobilized and vessels ligated, bowel resection and intracorporeal side-to-side ileocolic anastomosis were performed with endostaplers. The Transanal Endoscopic Operations device was inserted transanally. The resected specimen was removed via the Transanal Endoscopic Operations device through an enterotomy made over the anterior wall of the upper rectum.
  
  
  CONCLUSIONS
  The operation was performed on a 42-year-old woman and lasted 120 minutes; blood loss was 30 mL. The patient had an uneventful recovery and was discharged on postoperative day 5. The median pain score was 2 (range, 2-3). Our preliminary experience shows that hybrid NOTES right hemicolectomy is safe and feasible. The technique eliminates the need for mini-laparotomy in patients undergoing laparoscopic right hemicolectomy, and it offers promise in this era of minimally invasive surgery.
authors: Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong, China. tppcheung@hotmail.com
authors: T P P
authors: TP
authors: Cheung
authors: H Y S
authors: HY
authors: Cheung
authors: L W C
authors: LW
authors: Ng
authors: C C C
authors: CC
authors: Chung
authors: M K W
authors: MK
authors: Li
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*