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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2018, Vol. 07 ›› Issue (04): 358-361. doi: 10.3877/cma.j.issn.2095-3224.2018.04.010

Special Issue:

• Original Article • Previous Articles     Next Articles

A retrospective analysis of surgical difficulties in natural orifice specimen extraction surgery

Shifeng Zhang1, Zhijie Ding1, Sibo Yuan1, feng Yan1, Xingfeng Qiu1, Guoyan Liu1, Shuzhen Xu1, Jianchun Cai1,()   

  1. 1. Department of Gastrointestinal Surgery, Zhongshan Hospital, Xiamen University; Institute of Gastrointestinal Oncology, Medical College of Xiamen University; Xiamen Municipal Key Laboratory of Gastrointestinal Oncology, Xiamen 361004, China
  • Received:2018-02-19 Online:2018-08-25 Published:2018-08-25
  • Contact: Jianchun Cai
  • About author:
    Corresponding author: Cai Jianchun, Email:

Abstract:

Objective

To evaluate the clinical application value of laparoscopic-assisted natural orifice specimen extraction radical colectomy by Cai tube.

Methods

Colorectal cancer surgery for samples obtained from natural orifice under full laparoscopy was conducted on seventy colorectal cancer patients by self-developed surgical instruments-Cai tube. Patients′ clinical data were retrospectively analyzed.

Results

Surgeries of seventy patients were completed under full laparoscopy. Samples were obtained through anus. Wherein, seven cases, thirty-five cases, two cases and twenty-six cases belonged to cancer of descending colon, sigmoid, sigmoid-rectum junction, and rectum, respectively. Perioperative mortality was not discovered. Through retrospective analysis, we use the ″Body Mass Tumor Index″ to score patients before surgery to assess the ease of removal of surgical specimens.

Conclusions

Colorectal cancer surgery for samples obtained from natural orifice under full laparoscopy is characterized by safe operation, small trauma, lighter pain and more beautiful appearance, and radical resection effect can be achieved. In addition, higher colon cancer, such as cancer of descending colon, can be surgically excised under full laparoscopic colon surgery, and samples can be obtained from anus. Minimally invasive feature can be further improved on the basis of radical resection.

Key words: Colorectal neoplasms, Total laparoscopic, Radical colorectectomy, Auxiliary incision free, CAI tube, Laparoscopic-assisted natural orifice specimen extraction

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