Department of Surgery, IRCAD/EITS, Hôpitaux Universitaires, Strasbourg, France.
Colorectal Dis. 2011 Nov;13 Suppl 7:23-7. doi: 10.1111/j.1463-1318.2011.02774.x.
To assess the current state of the art of transanal specimen extraction in colonic resections.
A systematic literature search was conducted including the terms 'transrectal or transanal specimen extraction', 'Natural Orifice Specimen Extraction' and 'laparoscopic colectomy' for the period from 1955 to May 2011. Exclusion criteria were abdomino-perineal resections, pull-through technique, experimental studies and paediatric population.
Nineteen studies met the inclusion criteria, representing 154 patients. The overall postoperative complication rate was 10%. The risks of peritoneal contamination and sphincter dysfunction were evaluated by a single study of each.
Transanal extraction is a feasible option to minimize incisions in colorectal surgery.
评估结肠切除术中经肛门标本提取的最新技术现状。
对 1955 年至 2011 年 5 月期间使用“经直肠或经肛门标本提取”、“自然腔道标本提取”和“腹腔镜结肠切除术”等术语进行了系统的文献检索。排除标准为腹会阴联合切除术、经肛拖出术、实验研究和儿科人群。
19 项研究符合纳入标准，共 154 例患者。总的术后并发症发生率为 10%。只有一项研究评估了腹膜污染和括约肌功能障碍的风险。
经肛门提取是一种可行的选择，可以最大限度地减少结直肠手术的切口。
