Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	115484
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Study
Article Title	Modified natural orifice specimen extraction type IV surgery for rectosigmoid cancer: A retrospective clinical study
Manuscript Source	Unsolicited Manuscript
All Author List	Yi-Bo Li, Chang Zhu, Li-Gang Xia, Xiao Sun, Ke-Li Zhong and Yang Li
Funding Agency and Grant Number
Corresponding Author	Chang Zhu, Adjunct Professor, Chief Physician, MD, Department of Gastrointestinal Surgery, Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University, No. 1017 Dongmen North Road, Luohu District, Shenzhen 518020, Guangdong Province, China. ewancool@hotmail.com
Key Words	Natural orifice surgery; Rectosigmoid cancer; Laparoscopic surgery; Modified procedure; Postoperative complications
Core Tip	This study compared the conventional and modified natural orifice specimen extraction surgery (NOSES) type IV procedures for rectosigmoid cancer. Compared to the conventional technique, the modified technique had simplified operative steps and eliminated the need for a circular stapler, thereby reducing operative time, blood loss, and surgical costs without compromising oncological safety. Postoperative recovery, including bowel function and complication rates, was comparable between groups. These findings suggest that the modified NOSES IV approach is a safe, efficient, and cost-effective alternative for minimally invasive radical resection of rectosigmoid cancer.
Citation	Li YB, Zhu C, Xia LG, Sun X, Zhong KL, Li Y. Modified natural orifice specimen extraction type IV surgery for rectosigmoid cancer: A retrospective clinical study. World J Gastrointest Surg 2026; In press

Received	2025-10-24 10:33
Peer-Review Started	2025-10-24 10:33
First Decision by Editorial Office Director	2025-12-04 09:20
Return for Revision	2025-12-05 15:03
Revised	2025-12-24 09:45
Publication Fee Transferred	2025-12-30 04:14
Second Decision by Editor	2026-01-20 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-20 08:09
Articles in Press	2026-01-20 08:09
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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