Natural orifice versus conventional mini-laparotomy for specimen extraction after reduced-port laparoscopic surgery for colorectal cancer: propensity score-matched comparative study
Natural orifice versus conventional mini-laparotomy for specimen extraction after reduced-port laparoscopic surgery for colorectal cancer: propensity score-matched comparative study
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DOI：
10.1007/s00464-020-08250-8
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发表时间：
2021-02-02
影响因子：
3.1
通讯作者：
Chen, William Tzu-Liang
中科院分区：
文献类型：
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作者：
Chang, Sheng-Chi;Lee, Tsung-Han;Chen, William Tzu-Liang
背景虽然减少端口腹腔镜手术（RPLS），定义为使用尽可能少的端口和/或小尺寸端口进行的腹腔镜手术，通过减少手术伤口的数量，比传统的腹腔镜手术创伤更小，但仍然需要延长切口以提取标本，这可能会破坏RPLS的优点。目的探讨自然腔道标本提取术（NOSE）对结直肠癌根治术后再狭窄的影响。终点为3年时的围手术期结局和肿瘤安全性。设置单中心经验（2013-2019）。我们回顾性分析了前瞻性收集的患者记录（美国癌症联合委员会（AJCC）I-III期乙状结肠癌或直肠上段癌（肿瘤直径
Background Although reduced port laparoscopic surgery (RPLS), defined as laparoscopic surgery performed with the minimum possible number of ports and/or small-sized ports, is less invasive than conventional laparoscopic surgery by reducing the number of surgical wounds, an extension of the incision is still needed for specimen extraction, which can undermine the merits of RPLS. Objective To determine the impact of natural orifice specimen extraction (NOSE) in patients undergoing RPLS for colorectal cancer. The endpoints were perioperative outcome and oncologic safety at 3 years. Setting Single-center experience (2013-2019). Patients We retrospectively analyzed our prospectively collected patient records (American Joint Committee on Cancer (AJCC) stage I-III sigmoid or upper rectal cancer (tumor diameter