Effect of total laparoscopic resection for colorectal cancer by NOSE
10.3969/j.issn.1007-1989.2017.12.008
- VernacularTitle:经自然腔道取标本完全腹腔镜下 结直肠癌根治术的研究
- Author:
Zhao DAN
1
;
Chen JIE
;
Ding CHENG-MING
;
Jia ZE-MING
;
Peng JIAN
Author Information
1. 中南大学湘雅医院 普外科
- Keywords:
NOSE;
without abdominal incision;
total laparoscopic technique;
colorectal cancer
- From:
China Journal of Endoscopy
2017;23(12):36-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operation process of the technology, safety and operability of total laparoscopic resection for colorectal cancer by natural orifice specimen extraction (NOSE). Methods 40 patients with colorectal cancer who met the inclusion criteria of NOSE method from April 2015 to June 2017 were randomly divided into control group (traditional laparoscope) and experimental group (NOSE group), 20 cases in each. The intraoperative and postoperative quality of life between the two groups were statistically analyzed. Results All the patients completed the target operation, and no other operative methods were transferred. No complications occurred in either group. There were statistically difference (P < 0.05) between the two groups of patients in the two indicators (time and blood loss), there was no statistically significant difference in hospital time (P > 0.05), there was statistically difference (P < 0.05) between the two groups of quality of life score (SF-36 scale) in somatic function, role function, pain, cognitive and overall health status of five dimensions, the NOSE group was superior to the traditional laparoscopic group. Conclusion There are advantages in totally laparoscopic colorectal cancer treated with whole NOSE method. The overall health is good, few restrictions on daily work and life, quicker recovery of physical function and role function. Therefore, the application can be promoted if the condition is allowed.
