Dong Changzheng, Zhou Wei, Zang Yifeng, Ding Yinlu
Department of Gastrointestinal Surgery, Jinan City People's Hospital, Jinan, Shandong Province, China.
Department of Gastrointestinal Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, China.
J Minim Access Surg. 2022 Jul-Sep;18(3):484-486. doi: 10.4103/jmas.JMAS_328_20.
Radical excision by surgery is the main treatment method for gastric cancer and as the surgery develops, the laparoscopic treatment effect on gastric cancer is gradually being verified. The totally laparoscopic gastrectomy (TLG) with natural orifice specimen extraction surgery (NOSES) for gastric cancer has attracted people's attention by avoiding abdominal incision and further reducing surgical injury and provides ideas for the further development of minimally invasive surgical treatment on the basis of laparoscopy. Surgical technique of TLG with natural orifice (vagina) specimen extraction is detailed in the text. We have employed NOSES in 4 cases of TLG in the past year. The visual analogue scale score was low, and all patients had no complications during and after the operation. No recurrence or metastasis was found in the short-term follow-up. TLG with NOSES is feasible and has many advantages such as aesthetics, light post-operative pain.
手术根治性切除是胃癌的主要治疗方法，随着手术技术的发展，腹腔镜治疗胃癌的效果逐渐得到验证。用于胃癌的经自然腔道标本取出手术（NOSES）的全腹腔镜胃切除术（TLG）因避免腹部切口并进一步减少手术创伤而备受关注，为基于腹腔镜的微创外科治疗的进一步发展提供了思路。本文详细介绍了经自然腔道（阴道）标本取出的TLG手术技术。在过去一年中，我们对4例TLG患者采用了NOSES。视觉模拟评分较低，所有患者在手术期间及术后均无并发症。短期随访未发现复发或转移。经NOSES的TLG是可行的，并且具有美观、术后疼痛轻等诸多优点。
