通过阴道的自然孔样本提取手术左侧结直肠切除:一个单中心队列研究
Ruben Gregory Xavier1,2, Tao-Wei Ke2, William Tzu-Liang Chen3
1Department of Surgery, Division of Colorectal Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Journal of minimal access surgery
|December 24, 2024
概括
经阴道自然孔样本提取手术 (NOSES) 是女性左侧结直肠切除的安全和可行的方法. 仔细考虑样本,门通道和阴道特征对于成功的结果很重要.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 妇科外科手术 妇科外科
背景情况:
- 通过阴道的自然孔样本提取手术 (NOSES) 是结直肠手术的新兴技术.
- 这种方法为接受左侧结直肠切除的女性患者提供了最少的侵入性选择.
研究的目的:
- 评估通过阴道进行左侧腹腔镜结直肠切除术的安全性和可行性.
- 报告与这种技术相关的手术结果和患者特征.
主要方法:
- 在2011年至2021年期间,对患者进行过阴道过渡的鼻子进行左侧结直肠切除的回顾性分析.
- 收集的数据包括患者人口统计,手术细节,样本特征和术后结果.
主要成果:
- 18名绝经后妇女 (平均年龄为69.2岁) 接受了这种手术.
- 常见的症状包括恶性瘤 (77.8%) 和分泌体炎 (11.2%).
- 平均手术时间为262.5分钟,血液损失最小 (34毫升);没有报告临床感染. 平均住院时间为5.1天.
结论:
- 经阴道鼻子是女性患者左侧结直肠切除的安全和可行的手术选择.
- 成功实施的关键因素包括仔细评估样本大小,门和阴道解剖学.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
48
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
48
01:25Endoscopic Procedures II: Colonoscopy
56
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
56