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中华结直肠疾病电子杂志

中华结直肠疾病电子杂志 ›› 2020, Vol. 09 ›› Issue (06) : 610 -616. doi: 10.3877/cma.j.issn.2095-3224.2020.06.013

所属专题： 经自然腔道取标本手术学； 文献；

综述

结直肠肿瘤经自然腔道取标本手术的研究进展
王赫1, 刘志鹏1, 燕东1, 史新龙1, 王涛1, 杜斌斌1, 张维胜1, 杨熊飞1,†()   
  1. 1. 730000　兰州，甘肃省人民医院肛肠科
  • 收稿日期:2020-04-23 出版日期:2020-12-25
  • 通信作者: 杨熊飞
  • 基金资助:
    甘肃省青年科技基金(No. 17JR5RA031); 甘肃省自然科学基金(No. 18JR3RA055); 甘肃省人民医院院内科研基金(No. 18GSSY1-2); 甘肃省人民医院院内青年项目(No. 20GSSY4-9)

The application progress of NOSES in surgery of colorectal cancer

He Wang1, Zhipeng Liu1, Dong Yan1, Xinlong Shi1, Tao Wang1, Binbin Du1, Weisheng Zhang1, Xiongfei Yang1,†()   

  1. 1. Department of Colorectal Surgery, Gansu Provincial Hospital, Lanzhou 730000, China
  • Received:2020-04-23 Published:2020-12-25
  • Corresponding author: Xiongfei Yang
  • About author:
    Corresponding author: Yang Xiongfei, Email:
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王赫, 刘志鹏, 燕东, 史新龙, 王涛, 杜斌斌, 张维胜, 杨熊飞. 结直肠肿瘤经自然腔道取标本手术的研究进展[J/OL]. 中华结直肠疾病电子杂志, 2020, 09(06): 610-616.

He Wang, Zhipeng Liu, Dong Yan, Xinlong Shi, Tao Wang, Binbin Du, Weisheng Zhang, Xiongfei Yang. The application progress of NOSES in surgery of colorectal cancer[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(06): 610-616.

我国结直肠癌发病率和死亡率逐年增长，手术切除仍是最有效治疗方式。近年来，腹腔镜技术的广泛应用保障了患者最大利益，与开腹手术相比，减少了手术创伤，缩短了住院时间，有利于患者术后快速康复。然而，传统腹腔镜结直肠癌手术需要在腹壁建立辅助切口来取出标本，这不利于减少患者术后切口相关并发症发生的风险，也对患者术后镇痛和腹壁美容效果带来负面影响。经自然腔道取标本手术（NOSES）在传统腹腔镜手术基础上创造性地提出通过人体自然腔道取出标本这一理念，在优化微创技术的同时避免了腹壁切口。本文现就结直肠肿瘤经自然腔道取标本手术的研究进展作一综述。

关键词: 结直肠肿瘤, 经自然腔道取标本手术, 辅助切口

Incidence and mortality of colorectal cancer in China are increasing year by year, and surgical resection is still the most effective treatment for the disease. In recent years, the extensive application of laparoscopic surgery has ensured the best interests of patients. Compared with open surgery, it reduces surgical trauma, shortens hospital stay, and is conducive for postoperative recovery of patients. However, traditional laparoscopic colorectal cancer surgery requires the establishment of an auxiliary incision in the abdominal wall to remove specimens, which is not conducive to reducing the risk of postoperative incision-related complications after surgery, and also has a negative impact on postoperative analgesia and abdominal wall cosmetic effects of patients. Natural orifice specimen extraction surgery (NOSES) creatively puts forward the idea of taking out specimens through the natural lumen of human body on the basis of traditional endoscopic surgery, which avoids abdominal wall incision while optimizing minimally invasive technology. This article reviews the application progress of NOSES in surgery of colorectal cancer.

Key words: Colorectal neoplasms, Natural orifice specimen extraction surgery (NOSES), Auxiliary incision
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