Department of Gastrointestinal Surgery, Affiliated Hospital of Chengde Medical University, Chengde, China.
J Laparoendosc Adv Surg Tech A. 2022 Apr;32(4):378-383. doi: 10.1089/lap.2021.0205. Epub 2021 May 12.
To explore the clinical efficacy of natural orifice specimen extraction surgery (NOSES) combined with transanal endoscopic operations (TEOs) to remove specimens from the anus for laparoscopic radical resection of colorectal cancer. From January 2014 to May 2020, 120 colorectal cancer patients were selected as study samples, including 60 cases who underwent NOSES laparoscopic radical resection of colorectal cancer (experimental group) and 60 cases who underwent traditional laparoscopic radical resection of colorectal cancer (control group). The basic preoperative conditions, operative time, intraoperative blood loss, lymph node dissection, postoperative hospitalization time, postoperative exhaust and defecation time, postoperative anal function, and postoperative complications were analyzed retrospectively. Sleep quality score (6.26 ± 1.16), pain score (2.95 ± 0.79), and hospitalization time (11.55 ± 3.79 days) were better than those for the control group ( < .05). There were no positive cases of incisal margin in both groups. Gastrointestinal function recovery time, blood loss, lymph node dissection, and postoperative complications were not statistically significant ( > .05). NOSES combined with TEOs has the advantages of less trauma, quick postoperative recovery, and low psychological pressure, so it is worth popularizing.
探讨经自然腔道标本取出术(NOSES)联合经肛门内镜微创手术(TEO)取出标本行腹腔镜结直肠癌根治术的临床疗效。选取 2014 年 1 月至 2020 年 5 月间行结直肠癌手术的患者 120 例作为研究样本,其中 60 例行 NOSES 腹腔镜结直肠癌根治术(实验组),60 例行传统腹腔镜结直肠癌根治术(对照组)。回顾性分析两组患者的基本术前情况、手术时间、术中出血量、淋巴结清扫数目、术后住院时间、术后排气排便时间、术后肛门功能、术后并发症等。实验组患者的睡眠质量评分(6.26±1.16)、疼痛评分(2.95±0.79)、住院时间(11.55±3.79 天)均优于对照组(<0.05)。两组患者切缘均无阳性病例。两组患者的胃肠功能恢复时间、出血量、淋巴结清扫数目、术后并发症等比较差异无统计学意义(>0.05)。NOSES 联合 TEOs 具有创伤小、术后恢复快、心理压力小等优点,值得推广。