DRGs下的腹腔镜结直肠癌NOSES手术改进  

Improvements in laparoscopic surgery for colorectal cancer with natural orifice specimen extraction surgery under diagnosis related groups

作　　者：白东晓[1] 李磊[1] 郭志朋 武亚超 王雁军[1] 黄天臣[1] 肖建安[1] Dongxiao Bai;Lei Li;Zhipeng Guo;Yachao Wu;Yanjun Wang;Tianchen Huang;Jian'an Xiao(Department of Surgery,Anyang Tumor Hospital,The Affiliated Anyang Tumor Hospital of Henan University of Science and Technology,Anyang 455000,China)

机构地区：[1]安阳市肿瘤医院,河南科技大学附属安阳市肿瘤医院外四科,河南省安阳市455000

出　　处：《中国肿瘤临床》2023年第7期352-355,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨在(疾病)诊断相关分类(diagnosis related groups,DRGs)形势下,腹腔镜结直肠癌经自然腔道取标本(NOSES)手术方式改进及其可行性。方法:回顾性分析安阳市肿瘤医院2019年2月至2021年2月实施DRGs的42例改进后的腹腔镜结直肠癌NOSES术,并与同期进行常规腹腔镜结直肠癌手术的238例患者在费用、治疗结果、并发症等方面相比较。结果:NOSES改进组42例患者DRGs控费成功率为95.2%(40/42),与常规腹腔镜组在DRGs费用及近期并发症发生率方面无显著性差异(P>0.05)。结论:腹腔镜结直肠癌NOSES改进手术可以达到DRGs费用标准,手术安全可靠,应用双7号丝线代替部分直线切割闭合器是可行的。Objective:To investigate the improvements and feasibility associated with advances in natural orifice specimen extraction surgery(NOSES)for colorectal cancer under diagnosis related groups(DRGs).Methods:A retrospective analysis of 42 patients with modified laparoscopic colorectal cancer NOSES who underwent DRGs at Anyang Tumor Hospital from February 2019 to February 2021 was carried out.The results were compared with those of 238 patients who underwent routine laparoscopic colorectal cancer surgery at the same time in terms of cost,treatment outcome and complications.Results:The success rate of DRGs in the improved group was 95.2%(40/42).There was no significant difference in DRGs cost and short-term complication rate between the two groups(P>0.05)Conclusions:The improved laparoscopic operation for the NOSES of colorectal cancer can meet the cost standard of DRGs,and the operation is safe and reliable.It is feasible to use double no.7 silk thread instead of partial linear cutting closers.

关 键 词：DRGS 结直肠癌 NOSES 改进手术 控费 

分 类 号：R735.34[医药卫生—肿瘤]