NOSE for Cancer

There is very good evidence for excellent surgical and cancer outcomes for the use of NOSE for bowel cancer. This has been well established, particularly in high volume Asian data.  Andrew Gilmore used the NOSE technique on many, selected patients with cancer.  He will not compromise on the quality of the cancer surgery to achieve a NOSE.   The cancers need to be small enough to extract from the anus, or vagina, with out damaging the specimen.  Women, who are over weight, derive the greatest benefit from NOSE surgery because their usual extraction wounds, through their thick abdominal walls, need to be large.  They are at higher risk of wound infection, hernia formation and unsightly scarring.  Below is another publication describing the excellent outcomes in obese patients having right sided bowel cancers removed with mainly trans vaginal extraction. An average length of stay only 4 days.  

NOSE is also excellent for those patients who so many polyps (polyposis syndromes) that we advise a total colectomy (where the small bowel is joined to the rectum ) to minimise their very substantial risk of cancer.