Application value of laparoscopic natural orifice specimen extraction surgery based on purse-string suture for sigmoid colon and upper rectal cancer
10.3760/cma.j.cn115610-20240425-00226
- VernacularTitle:基于荷包缝合腹腔镜NOSES在乙状结肠癌及上段直肠癌治疗中的应用价值
- Author:
Zhewei WEI
1
;
Baoyi LIU
;
Hao ZHOU
;
Tianxiang LEI
;
Kaiyu SUN
;
Wu SONG
Author Information
1. 中山大学附属第一医院胃肠外科中心，广州 510080
- Keywords:
Colorectal neoplasms;
Sigmoid colon;
Upper rectus;
Natural orifice speci-men extraction;
Purse-string suture;
Efficacy;
Safety;
Laparoscopy
- From:
Chinese Journal of Digestive Surgery
2024;23(6):853-858
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of laparoscopic natural orifice specimen extraction surgery (NOSES) based on purse-string suture for sigmoid colon and upper rectal cancer.Methods:The retrospective and descriptive study was conducted. The clinicopathological data of 14 patients undergoing laparoscopic NOSES based on purse-string suture for sigmoid colon and upper rectal cancer in The First Affiliated Hospital of Sun Yat-sen University from October 2022 to June 2023 were collected. There were 8 males and 6 females, aged (56±10)years. Observation indicators: (1) surgical conditions; (2) postoperative conditions; (3) follow-up. Measurement data with normal distribution were represented as Mean± SD. Count data were described as absolute numbers. Results:(1) Surgical conditions. All patients underwent laparoscopic NOSES based on purse-string suture for sigmoid colon and upper rectal cancer successfully, without conversion to open surgery. The operation time of 14 patients was (162±32)minutes, and the volume of intraoperative blood loss was (22±12)mL. (2) Postoperative conditions. Time to postoperative first out-of-bed activity, time to postoperative first flatus, time to postoperative first drinking, time to postoperative initial liquid food intake, duration of postoperative hospital stay of 14 patients were (1.6±0.7)days, (2.1±0.6)days, (2.4±0.6)days, (3.8±1.0)days, (6.0±0.9)days, respectively. None of patient had perioperative complications such as postoperative anastomotic leakage and bleeding. (3) Follow-up. All 14 patients were followed up for (9.7±1.9)months. There was no postoperative recurrence, metastasis or death in 14 pati-ents.Conclusion:The laparoscopic NOSES based on purse-string suture can be used for sigmoid colon and upper rectal cancer, which is safe and feasible.
