结直肠肿瘤经自然腔道取标本手术367例真实世界研究  

A real world study of 367 cases of colorectal neoplasms treated by natural orifice specimen extraction surgery

作　　者：汤庆超[1] 朱亿豪 袁子茗 焦帅 胡汉卿[1] 王玉柳明 马天翼[1] 乔天宇[1] 刘明 王贵玉[1] 王锡山 Tang Qingchao;Zhu Yihao;Yuan Ziming;Jiao Shuai;Hu Hanqing;Wang Yuliuming;Ma Tianyi;Qiao Tianyu;Liu Ming;Wang Guiyu;Wang Xishan(Department of Colorectal Surgery,the Second Affiliated Hospital of Harbin Medical University,Harbin 150081,China;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 100021,China)

机构地区：[1]哈尔滨医科大学附属第二医院结直肠肿瘤外科,150081 [2]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科,北京100021

出　　处：《中华结直肠疾病电子杂志》2022年第2期108-113,共6页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：目的通过分析本中心开展的结直肠肿瘤经自然腔道取标本手术(NOSES),研究NOSES在结直肠肿瘤中的优势。方法本研究最终共纳入367例结直肠肿瘤行NOSES病例,收集资料包括患者术前一般资料、手术相关资料、术后病理资料以及短期疗效相关资料。结果患者平均年龄为(59.7±11.2)岁,患者平均BMI指数为(22.7±2.9)kg/m^(2)。NOSES手术平均时间为(163.2±52.0)分钟,术中中位出血量为20.0毫升。术后病理资料显示,0~IV期患者分别占7.6%、29.2%、35.4%、25.6%、2.2%;腺癌占病例总数的71.1%,平均淋巴结检出总数目为(14.7±4.9)枚。术后平均排气时间为39.0小时,术后平均进食时间为(80.3±44.8)小时,术后平均住院时间为(8.2±4.2)天,并发症发生率为12.0%。结论NOSES在结直肠肿瘤中具有良好的应用前景,且该技术是一种安全可靠的微创外科术式。Objective Analyze the feasibility of natural orifice specimen extraction surgery(NOSES)in colorectal neoplasms by analysising 367 cases of colorectal neoplasms treated by NOSES in our center.Methods A total of 367 cases of NOSES were collected.The data of patients included demographic data,surgical data,postoperative pathology and short-term outcomes.Results The average age of the patient was(59.7±11.2)years old,and the average BMI of the patient was(22.7±2.9)kg/m^(2).The average operation time was(163.2±52.0)minute,and the average blood loss was 20.0 mL.Patients in stage 0~IV were 7.6%,29.2%,35.4%,25.7%and 2.2%respectively.The proportion of adenocarcinoma was 71.1%,and the number of harvested lymph node was 14.7±4.9.The average postoperative exhausted time was 39.0 hours,and the time of postoperative feeding time was(80.3±44.8)hours,the average of postoperative hospital stay was(8.2±4.2)days,the incidence of complications was 12.0%.Conclusion NOSES has promising applications in colorectal neoplasms and is a safe and reliable minimally invasive surgery.

关 键 词：结直肠肿瘤 腹腔镜 经自然腔道取标本手术(NOSES) 腹腔镜手术 微创外科 

分 类 号：R73[医药卫生—肿瘤]