三孔法腹腔镜结直肠癌NOSES术

Three-port laparoscopic surgery for patients with colorectal cancer

目的探讨三孔法腹腔镜结直肠癌经自然腔道取标本手术(NOSES)的临床可行性。方法回顾分析中山大学附属第一医院本医疗组2021年10月至2021年12月采用单人三孔腹腔镜乙状结肠癌或高位直肠癌根治术(NOSES术)的8例患者临床资料,分析手术时间、术中出血量、术后排气时间、术中淋巴结清扫数量、术后并发症、住院时间等情况。结果8例患者均顺利完成手术,平均手术时间(170.3±38.6)分钟,平均术中出血量(43.8±11.9)mL,平均术后排气时间(42.0±24.9)小时,平均淋巴结清扫数量(13.6±9.5)颗,平均住院时间(13.4±3.9)天,术后无并发症发生。结论由1名外科医生和1名扶镜手实施的三孔腹腔镜手术似乎是治疗结直肠癌患者的一种可行且安全的手术选择,能达到相同的根治效果,并发症并未增多。

Objective To discuss the clinical application of three-port laparoscopic radical resection of colorectal cancer with natural orifice specimen extraction surgery(NOSES).Methods The clinical data of 8 patients with colorectal cancer who underwent three-port laparoscopic radical resection of colorectal cancer with natural orifice specimen extraction from Oct.2021 to Dec.2021 in the the First Affiliated Hospital of Sun Yat-sen University were retrospectively analyzed,including the operation duration,intraoperative bleeding,postoperative exhausting time,number of dissected lymph nodes,postoperative complications and hospital stay.Results All operations of 8 patients were completed successfully,with average operative time(170.3±38.6)minutes,intraoperative bleeding(43.8±11.9)mL,postoperative exhausting time(42.0±24.9)hours,number of dissected lymph nodes(13.6±9.5)and average hospital stay(13.4±3.9)days.No postoperative complications were observed.Conclusions Three-port laparoscopic radical resection of colorectal cancer performed by 1 surgeon and 1 camera operator appears to be a feasible and safe surgical option for the treatment of patients with colorectal cancer,showing the same radical cure effect was achieved without increasing complications.