Guan Xu, Liu Zheng, Parvaiz Amjad, Longo Antonio, Saklani Avanish, Shafik Ali A, Cai Jian-Chun, Ternent Charles, Chen Lin, Kayaalp Cuneyt, Sumer Fatih, Nogueira Fernanda, Gao Feng, Han Fang-Hai, He Qing-Si, Chun Ho-Kyung, Huang Chang-Ming, Huang Hai-Yang, Huang Rui, Jiang Zhi-Wei, Khan Jim S, da Joaquim Manuel, Pereira Costa, Nunoo-Mensah Joseph W, Son Jung Tack, Kang Liang, Uehara Keisuke, Lan Ping, Li Le-Ping, Liang Han, Liu Bing-Rong, Liu Juan, Ma Dan, Shen Ming-Yin, Islam Mohammad Rashidul, Samalavicius Narimantas Evaldas, Pan Kai, Tsarkov Petr, Qin Xin-Yu, Escalante Ricardo, Efetov Sergey, Jeong Seung Kyu, Lee Suk-Hwan, Sun Dong-Hui, Sun Li, Garmanova Tatiana, Tian Yan-Tao, Wang Gui-Yu, Wang Guo-Jun, Wang Guo-Rong, Wang Xiao-Qiang, Chen William Tzu-Liang, Yong Lee Woo, Yan Su, Yang Zu-Li, Yu Gang, Yu Pei-Wu, Zhao Dan, Zhong Yun-Shi, Wang Jian-Ping, Wang Xi-Shan
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P. R. China.
Poole Hospital NHS Trust, Poole, UK.
Gastroenterol Rep (Oxf). 2020 Jan 24;8(1):5-10. doi: 10.1093/gastro/goz067. eCollection 2020 Feb.
At present, natural orifice specimen extraction surgery (NOSES) has attracted more and more attention worldwide, because of its great advantages including minimal cutaneous trauma and post-operative pain, fast post-operative recovery, short hospital stay, and positive psychological impact. However, NOSES for the treatment of gastric cancer (GC) is still in its infancy, and there is great potential to improve its theoretical system and clinical practice. Especially, several key points including oncological outcomes, bacteriological concerns, indication selection, and standardized surgical procedures are raised with this innovative technique. Therefore, it is necessary to achieve an international consensus to regulate the implementation of GC-NOSES, which is of great significance for healthy and orderly development of NOSES worldwide.
目前，经自然腔道标本取出手术（NOSES）在全球范围内受到越来越多的关注，因为它具有诸多显著优势，包括皮肤创伤极小、术后疼痛轻、术后恢复快、住院时间短以及对心理有积极影响。然而，用于治疗胃癌（GC）的NOSES仍处于起步阶段，在完善其理论体系和临床实践方面仍有很大潜力。特别是，这项创新技术引发了包括肿瘤学疗效、细菌学问题、适应证选择和标准化手术操作等几个关键点的讨论。因此，有必要达成国际共识以规范GC-NOSES的实施，这对NOSES在全球的健康有序发展具有重要意义。
