Application of natural orifice specimen extraction surgery (NOSES) in ambulatory surgery for rectal cancer

doi:10.3877/cma.j.issn.2095-3224.2024.04.009

Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2024, Vol. 13 ›› Issue (04): 329-334. doi: 10.3877/cma.j.issn.2095-3224.2024.04.009

• Natural Orifice Specimen Extraction Surgery • Previous Articles

Application of natural orifice specimen extraction surgery (NOSES) in ambulatory surgery for rectal cancer

Zhi Zhu¹, Xinwei Zhang¹, Wenfei Tan², Ziming Gao¹, Ruihan Zhao¹, Ye Yang³, Shiyang Wang³, Dongmei Zhi³, Xin Zhao⁴, Changxin Yin⁴, Changyuan Gao⁵, Xishan Wang⁵, Zhenning Wang¹, Kai Li¹^,^†(), Haitao Zhou⁶^,^†()

^1. Department of Gastrointestinal Surgery, National Cancer Regional Medical Center/Cancer Hospital, Chinese Academy of Medical Sciences-Liaoning Hospital, the First Hospital of China Medical University, Shenyang 110001, China
^2. Department of Anesthesia, National Cancer Regional Medical Center/Cancer Hospital, Chinese Academy of Medical Sciences-Liaoning Hospital, the First Hospital of China Medical University, Shenyang 110001, China
^3. Department of Geriatric Surgery, National Cancer Regional Medical Center/Cancer Hospital, Chinese Academy of Medical Sciences-Liaoning Hospital, the First Hospital of China Medical University, Shenyang 110001, China
^4. Department of Operating Room, National Cancer Regional Medical Center/Cancer Hospital, Chinese Academy of Medical Sciences-Liaoning Hospital, the First Hospital of China Medical University, Shenyang 110001, China
^5. Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
^6. Department of Gastrointestinal Surgery, National Cancer Regional Medical Center/Cancer Hospital, Chinese Academy of Medical Sciences-Liaoning Hospital, the First Hospital of China Medical University, Shenyang 110001, China;Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China

Received:2024-05-10 Online:2024-08-25 Published:2024-09-02
Contact: Kai Li, Haitao Zhou

Abstract

Abstract:

Objective

To investigate the feasibility and safety of specimen extraction surgery (NOSES) performed in ambulatory surgery for rectal cancer.

Methods

The clinical data of 20 patients with rectal cancer performed by ambulatory surgery from Nov. 1, 2023 to Mar. 31, 2024 admitted to the National Cancer Regional Medical Center-Liaoning Hospital of Cancer Hospital of Chinese Academy of Medical Sciences/the First Affiliated Hospital of China Medical University were retrospectively analyzed and the surgery-related indexes and postoperative complications were collected and analyzed.

Results

In this study, we summarized and analyzed 20 patients with rectal cancer that had been carried out in ambulatory surgery, with no delayed discharge, only one readmission patient, no serious postoperative complications, and patient satisfaction rate was more than 95%.

Conclusion

NOSES combined with ERAS strategy in ambulatory surgery could reduce the surgical incision, stress response and postoperative pain, which is safe and feasible.

Key words: Rectal neoplasms, Ambulatory surgery, Natural orifice specimen extraction surgery (NOSES), ERAS

Zhi Zhu, Xinwei Zhang, Wenfei Tan, Ziming Gao, Ruihan Zhao, Ye Yang, Shiyang Wang, Dongmei Zhi, Xin Zhao, Changxin Yin, Changyuan Gao, Xishan Wang, Zhenning Wang, Kai Li, Haitao Zhou. Application of natural orifice specimen extraction surgery (NOSES) in ambulatory surgery for rectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2024, 13(04): 329-334.

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Figures/Tables 1

References 9

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指标	数值
性别
男	11
女	9
年龄（岁）	51.1±9.6
BMI（kg/m²）	20.8±3.1
新辅助放化疗	7
术前T分期
T1	3
T2	7
T3	10
T4	0
术前N分期
N0	11
N1	9
N2	0
术前M分期
M0	20
M1	0
术前CEA水平/（ng/mL）
<5	17
≥5	3
NRS评分	0.43±0.50
NRS2002评分	1.42±1.06
ECOG评分	0.76±0.72
Caprini评分	1.60±1.18

指标	数值
性别
男	11
女	9
年龄（岁）	51.1±9.6
BMI（kg/m²）	20.8±3.1
新辅助放化疗	7
术前T分期
T1	3
T2	7
T3	10
T4	0
术前N分期
N0	11
N1	9
N2	0
术前M分期
M0	20
M1	0
术前CEA水平/（ng/mL）
<5	17
≥5	3
NRS评分	0.43±0.50
NRS2002评分	1.42±1.06
ECOG评分	0.76±0.72
Caprini评分	1.60±1.18

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