Cancer Digestive System
Conditions
Interventions
Transabdominal extraction
Sponsors
Department of Surgery Faculty of Medicine Alexandria University
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: (1) Preoperative colonoscopy and Computed Tomography (CT) scan indicating that the tumor is in the ileocecal region, ascending colon, or hepatic flexure, with pathology confirming malignancy (2) No distant metastasis (3) American Society of Anesthesiologists classification (ASA) I, II, III (4) Patients signing informed consent (5) Patients allocating to the NOSES group without reproductive needs.
Exclusion criteria
Exclusion criteria: Women who will be excluded from the transvaginal removal route are those who have a history of endometriosis or pelvic inflammatory disease (PID), refuse to participate, has a narrow vagina, are virgins, have extensive pelvic adhesions, couldn’t access the cul de sac, or have tumors > 6 cm. Other exclusion criteria are: (1) Emergency surgery for intestinal obstruction, bleeding or perforation (2) Concurrent primary malignancies or distant metastasis from other organs (3) Incomplete data or missing follow-up data (4) Patients with a prophylactic stoma or other stoma causes (4) Preoperative radiotherapy (5) Combined organ resection (6) Body Mass Index (BMI) >35 kg/m2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical site infections | — |
Secondary
| Measure | Time frame |
|---|---|
| Incisional hernia | — |
Countries
Egypt
Contacts
Public ContactTareq Hassan
Colorectal Surgery Specialist
Outcome results
None listed