The application progress of NOSES in surgery of colorectal cancer

doi:10.3877/cma.j.issn.2095-3224.2020.06.013

Abstract

Abstract:

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

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]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2020, 09(06): 610-616.

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