腹腔镜左结直肠癌根治术经自然腔道取标本的临床疗效  

Clinical effect of laparoscopic radical resection for left colorectal cancer by natural orifice specimen extraction

作　　者：关明珺 马绍勇 徐殿新 孙晓 GUAN Ming-jun;MA Shao-yong;XU Dian-xin;SUN Xiao(Second Ward of General Surgery Department,Anshan Cancer Hospital,Anshan Liaoning 114000,China)

机构地区：[1]鞍山市肿瘤医院普通外科二病房,辽宁鞍山114000

出　　处：《局解手术学杂志》2021年第7期615-618,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：辽宁省科学技术计划项目(20190210662,20170580379)。

摘　　要：目的研究腹腔镜左结直肠癌根治术经自然腔道取标本(NOSE)的临床应用效果。方法纳入我院普通外科收治的左结直肠癌患者133例,根据术中取标本方式的不同将其分为NOSE组及常规组。比较2组患者围术期指标,包括手术时间、术中出血量、淋巴结清扫数目、首次排气时间以及术后住院时间;比较2组患者术后并发症发生情况;比较2组患者术后1个月肛门功能情况。结果NOSE组手术时间较常规组更长,术中出血量以及首次排气时间更少/短,差异有统计学意义(P<0.05);而2组淋巴结清扫数目及术后住院时间比较,差异无统计学意义(P>0.05)。2组患者术后并发症总发生率比较,差异无统计学意义(P>0.05)。2组患者术后1个月肛门功能Kirwan分级情况比较,差异无统计学意义(P>0.05)。结论NOSE在腹腔镜左结直肠癌根治术中适用性较好,保证了腹壁的美观性,患者术后恢复较快且不影响肛门功能。Objective To study the clinical effect of laparoscopic radical resection for left colorectal cancer by natural orifice specimen extraction(NOSE).Methods A total of 133 patients with left colorectal cancer admitted to the general surgery department of our hospital were enrolled,and they were divided into the NOSE group and the routine group according to the different methods of intraoperative specimen extraction.The perioperative indicators of patients between the two groups were compared,including the operation time,intraoperative blood loss,number of lymph nodes dissections,first exhaust time and postoperative hospital stay.The incidence of postoperative complications between the two groups was compared,and the anal function 1 month after operation between the two groups was compared.Results The operation time of the NOSE group was longer than that of the routine group,and the intraoperative blood loss and the first exhaust time were less/shorter than those of the routine group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the number of lymph nodes dissections or the postoperative hospital stay between the two groups(P>0.05).There was no statistically significant difference in the total incidence of postoperative complications between the two groups(P>0.05).There was no statistically significant difference in Kirwan grading of anal function 1 month after operation between the two groups(P>0.05).ConclusionNOSE has a good applicability in laparoscopic radical resection for left colorectal cancer,which can ensure the aesthetic appearance of the abdominal wall,and can promote the recovery of patients without affecting anal function.

关 键 词：左结直肠癌 腹腔镜 经自然腔道取标本手术 肛门功能 根治术 

分 类 号：R735.34[医药卫生—肿瘤]