腹腔镜结肠切除术经自然腔道标本提取的研究进展

Research Progress of Laparoscopic Colectomy with Natural Orifice Specimen Extraction

与开腹结直肠手术相比,腹腔镜结直肠手术可以减少术后并发症发生率,缩短住院时间。为了进一步优化腹腔镜结直肠手术的预后,减少出口创伤成为促进恢复的一种有效方式。经自然腔道标本提取(natural orifice specimen extraction,NOSE)是减少出口创伤的方法之一。NOSE通过自然腔道取出标本并在体内进行肠吻合从而减少腹腔镜结直肠手术出口创伤。NOSE技术的潜在优点包括疼痛更少,恢复更快,住院时间更短,美容效果更好,切口疝发生率更低。NOSE技术带来的问题包括:腹腔感染,术后的结果,术后疼痛、手术部位功能恢复和肿瘤学预后是否理想。该综述旨在描述NOSE在结直肠癌手术中应用的研究进展,为NOSE更好地应用于临床提供依据。

Laparoscopic colorectal surgery can reduce the incidence of postoperative complications, shorten the hospitalization time compared with open colorectal surgery. Reducing export trauma can further optimize the prognosis, promote the recovery of laparoscopic colorectal surgery. NOSE is one of the methods reducing the access trauma. NOSE can remove the specimen through natural orifice and anastomosis intestinal in vivo so as to reduce the export trauma of laparoscopic colorectal surgery. The advantages of NOSE＇s include less pain, quicker recovery, shorter hospitalization time, good cosmetic effect and low incidence of incisional hernia. NOSE may bring problems include abdominal infection, postoperative results, postoperative pain, recovery of function and oncologic outcomes. The aim of this review is to describe the research progress of NOSE＇s application in the colorectal cancer operation, with the purpose of providing the basis for clinical application of NOSE.