摘要
目的分析电子结肠镜辅助经结肠NOSES患者的临床资料,总结临床诊疗经验,探讨经电子结肠镜取标本的临床可行性。方法回顾性分析郑州大学第一附属医院2016年1月至2022年5月收治的8例电子结肠镜辅助经结肠NOSES患者的临床资料、手术方式、病理和随访结果。结果8例患者的肿瘤全部完整切除,标本在电子结肠镜的帮助下均顺利通过肠道经肛门取出,中位手术时间为190(160,210)min。中位术中出血量为60(40,80)mL。术后第一天中位VAS疼痛评分为4(2,5)分。术后病理获取的中位淋巴结数目为13(12,14)枚。1例患者术后第四天出现肺部感染,1例患者术后第六天出现肠梗阻,均经保守治疗后恢复,无吻合口漏及腹腔感染发生。术后随访6~50个月,无种植、复发及死亡发生。结论电子结肠镜辅助经结肠NOSES手术是一种安全、可靠、有效的手术方法,具有较好的应用前景和临床价值。
Objective We analyzed the clinical data of patients treated by colonoscope assisted transcolonic specimen extraction surgery,summarized the clinical treatment experience,and explored its clinical feasibility.Methods The clinical data,surgical methods,pathology,and follow-up results of 8 colonic neoplasm patients treated with transcolonic NOSES in the First Affiliated Hospital of Zhengzhou University from January 2016 to May 2022 were analyzed retrospectively.Results The tumors were completely resected in all 8 patients,and the specimens were successfully extracted through anus by colonoscope.The median operation time was 190(160,210)minutes.The median intraoperative blood loss was 60(40,80)mL.The median VAS pain score was 4(2,5)on the first day after operation.The median number of lymph nodes retrieved was 13(12,14).There was one case of pulmonary infection on the fourth day after operation,and one case of ileus on the sixth day after operation.Both recovered after conservative symptomatic treatment.No patient had anastomotic leakage and abdominal infection.Follow up for 6 to 50 months showed no implantation,recurrence,or death.Conclusion Colonoscope assisted transcolonic specimen extraction surgery is a safe,reliable and effective surgical method with excellent application prospects and clinical value.
作者
常远
白杨
王文秀
孙振强
周全博
崔雯铭
王玉行
袁维堂
胡军红
Yuan Chang;Yang Bai;Wenxiu Wang;Zhenqiang Sun;Quanbo Zhou;Wenming Cui;Yuxing Wang;Weitang Yuan;Junhong Hu(Department of Colorectal Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华结直肠疾病电子杂志》
2023年第3期196-199,共4页
Chinese Journal of Colorectal Diseases(Electronic Edition)
基金
河南省医学科技攻关计划(联合共建)项目(LHGJ20190152)
河南省医学科技攻关计划(省部共建重点)项目(SBGJ202102121)。
关键词
结肠肿瘤
经自然腔道取标本手术
电子结肠镜辅助
Colonic neoplasms
Natural orifice specimen extraction surgery(NOSES)
Colonoscope assisted