International consensus on natural orifice specimen extraction surgery (NOSES) for colorectal cancer

The International Alliance of NOSES

Research output: Contribution to journalArticlepeer-review

85 Citations (Scopus)


In recent years, natural orifice specimen extraction surgery (NOSES) in the treatment of colorectal cancer has attracted widespread attention. The potential benefits of NOSES including reduction in postoperative pain and wound complications, less use of postoperative analgesic, faster recovery of bowel function, shorter length of hospital stay, better cosmetic and psychological effect have been described in colorectal surgery. Despite significant decrease in surgical trauma of NOSES have been observed, the potential pitfalls of this technique have been demonstrated. Particularly, several issues including bacteriological concerns, oncological outcomes and patient selection are raised with this new technique. Therefore, it is urgent and necessary to reach a consensus as an industry guideline to standardize the implementation of NOSES in colorectal surgery. After three rounds of discussion by all members of the International Alliance of NOSES, the consensus is finally completed, which is also of great significance to the long-term progress of NOSES worldwide.

Original languageEnglish
Pages (from-to)24-31
Number of pages8
JournalGastroenterology Report
Issue number1
Publication statusPublished - Feb 1 2019


  • Colorectal cancer
  • Laparoscopy
  • Natural orifice specimen extraction surgery (NOSES)
  • Natural orifice transluminal endoscopic surgery (NOTES)
  • Transanal total mesorectal excision (TaTME)

ASJC Scopus subject areas

  • Gastroenterology


Dive into the research topics of 'International consensus on natural orifice specimen extraction surgery (NOSES) for colorectal cancer'. Together they form a unique fingerprint.

Cite this