Basic Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Nov 16, 2020; 12(11): 451-458
Published online Nov 16, 2020. doi: 10.4253/wjge.v12.i11.451
Peroral traction-assisted natural orifice trans-anal flexible endoscopic rectosigmoidectomy followed by intracorporeal colorectal anastomosis in a live porcine model
Hong Shi, Su-Yu Chen, Zhao-Fei Xie, Rui Huang, Jia-Li Jiang, Juan Lin, Fang-Fen Dong, Jia-Xiang Xu, Zhi-Li Fang, Jun-Jie Bai, Ben Luo
Hong Shi, Su-Yu Chen, Zhao-Fei Xie, Rui Huang, Jia-Li Jiang, Juan Lin, Department of Digestive Endoscopy, Fujian Cancer Hospital, Fujian Medical University Cancer Hospital, Fuzhou 350014, Fujian Province, China
Fang-Fen Dong, School of Medical Technology and Engineering, Fujian Medical University, Fuzhou 350122, Fujian Province, China
Jia-Xiang Xu, Zhi-Li Fang, Jun-Jie Bai, Ben Luo, School of Clinical Medicine, Fujian Medical University, Fuzhou 350122, Fujian Province, China
Author contributions: Shi H and Chen SY contributed equally to this work; Shi H and Chen SY were responsible for the study concept and design, including endoscopic procedures; all authors conducted the endoscopic operations together; Chen SY drafted the manuscript; Shi H revised and finalized the manuscript.
Supported by Young and Middle-aged Mainstay Talent Training Program of Fujian Provincial Health System, China, No. 2014-ZQN-ZD-6.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Fujian Cancer Hospital, Fujian Medical University Cancer Hospital (Approval No. 2014-ZQN-ZD-6).
Institutional animal care and use committee statement: All procedures involving animals were reviewed and approved by the Institutional Animal Care and Use Committee of Beijing Pinggu Hospital and Fuzhou General Hospital of Nanjing Military Command (IACUC-2015-010).
Conflict-of-interest statement: To the best of our knowledge, no conflict of interest exists.
Data sharing statement: No additional data are available.
ARRIVE guidelines statement: The authors have read the ARRIVE Guidelines, and the manuscript was prepared and revised according to the ARRIVE Guidelines.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Hong Shi, MD, Chief Doctor, Department of Digestive Endoscopy, Fujian Cancer Hospital, Fujian Medical University Cancer Hospital, No. 420 Fuma Road, Fuzhou 350014, Fujian Province, China. endoshihong@hotmail.com
Received: July 16, 2020
Peer-review started: July 16, 2020
First decision: September 14, 2020
Revised: September 29, 2020
Accepted: October 20, 2020
Article in press: October 20, 2020
Published online: November 16, 2020
Processing time: 122 Days and 23.9 Hours
Core Tip

Core Tip: A novel technique, natural orifice trans-anal endoscopic (NOTES) rectosigmoidectomy followed by intracorporeal colorectal end-to-end anastomosis, may be successfully performed in a live porcine model with the assistance of peroral external traction and the trans-umbilical rigid grasper.