title: Laparoscopic NOSE colectomy with a camera sleeve: a technique in evolution.
abstract: OBJECTIVE
  Although natural orifice specimen extraction (NOSE) reduces abdominal access trauma, specimen retrieval with a bag can be difficult, due to the size of the specimen. This technical note aims to show feasibility of laparoscopic NOSE colectomy with a camera sleeve based on a well-documented video.
  
  
  METHODS
  Over a 9-month period all patients who had laparoscopic NOSE colectomy were included in the study. Camera sleeve extraction was compared with specimen retrieval bag extraction.
  
  
  RESULTS
  Eight patients (6 females, median age 63 years, median BMI 23 kg/m²) underwent NOSE with a camera sleeve versus nine patients with a specimen retrieval bag. Patient characteristics and operative details were similar in both groups. There were no conversions. Median hospital stay was 4 days in both groups.
  
  
  CONCLUSIONS
  Laparoscopic NOSE colectomy with a camera sleeve is feasible, but it remains to be shown that this technical modification will lead to an increase in indications for left-sided colonic resections.
authors.affiliation: Department of Abdominal Surgery, University Hospital Gasthuisberg Leuven, Leuven, Belgium.
authors.forename: A M
authors.initials: AM
authors.lastname: Wolthuis
authors.forename: A
authors.initials: A
authors.lastname: De Buck Van Overstraeten
authors.forename: A
authors.initials: A
authors.lastname: D'Hoore
mesh_terms: D000328:Adult; D000368:Aged; D003082:Colectomy / Q000379:methods*; D003108:Colonic Diseases / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D000067368:Transanal Endoscopic Surgery / Q000379:methods*; D016896:Treatment Outcome
keywords: Laparoscopy; camera sleeve; colectomy; natural orifice specimen extraction; transrectal extraction