结直肠肿瘤经自然腔道取标本手术指南(2023版)

Guidelines for natural orifice specimen extraction surgery in colorectal neoplasm(V.2023)

经自然腔道取标本手术(NOSES)已成为微创外科领域的重要组成部分。相比其他类型肿瘤,NOSES在结直肠肿瘤的应用中起步最早、发展最快、理论最详实、技术最完善。为保障NOSES手术在临床中的规范开展与推广,中国医师协会结直肠肿瘤专业委员会、中国抗癌协会大肠癌专业委员会联合中国NOSES联盟,在《结直肠肿瘤NOSES专家共识(2019版)》的基础上,针对NOSES定义、分类、术式命名、手术原则、适应证与禁忌证、手术技术操作实践、并发症预防和管理、临床研究开展以及技术规范化培训等几个方面进行全面阐述。

Natural orifice specimen extraction surgery(NOSES)has become an important part of minimally invasive surgery.Compared with other types of cancers,NOSES has the earliest initiation,fastest development,most detailed theory,and most sophisticated techniques in the application of colorectal neoplasms.To ensure the standardized development and promotion of NOSES surgery in clinical practice,the Colorectal Cancer Professional Committee of the Chinese Medical Doctor Association,the Colorectal Cancer Professional Committee of the China Anti-Cancer Association,and the China NOSES Alliance elaborated comprehensively on several aspects such as the definition,classification,nomenclature of surgical procedures,surgical principles,indications and contraindications,surgical technique practice,prevention and management of complications,clinical research,and technical standardization training based on the"Expert Consensus on NOSES Surgery for Colorectal Cancer(2019 version)."