腹腔镜自然孔样本提取用于节疾病:系统性审查
Jasmine Mui1,2, Mina Sarofim3,4,5, Ernest Cheng3,4
1Department of Colorectal Surgery, Liverpool Hospital, Liverpool, NSW, Australia. jasmine.jm.mui@gmail.com.
Surgical endoscopy
|March 27, 2025
概括
自然孔样本提取 (NOSE) 是分管疾病手术的安全选择. 与传统的提取方法相比,这种方法减少了住院和手术部位感染.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 最少侵入性的手术
- 手术瘤学手术瘤学
背景情况:
- 脊椎病很普遍,通常需要进行结肠切除.
- 传统的腹腔镜外科手术带有大量的提取伤口,增加了感染风险,疼痛和住院时间.
- 自然孔样本提取 (NOSE) 提供了一个替代方案,但在分管疾病中未得到充分利用.
研究的目的:
- 系统地审查 NOSE 在左侧结肠切除中因分泌管疾病而产生的结果.
- 评估NOSE在这个患者群体中的安全性和可行性.
主要方法:
- 对PubMed,Ovid MEDLINE和EMBASE数据库进行系统审查.
- 包括2010年以后发表的人类研究,重点关注左侧切除的跨门/跨直肠NOSE.
- 排除非全文文章和非英语出版物;由两位评论员进行独立评估.
主要成果:
- 共有9项涉及428名患者的研究符合纳入标准.
- 住院时间从4天到6天不等,转换率低到腹外抽取.
- 在2/3的研究中,NOSE显示疼痛得分较低,在6项研究中没有报告手术部位感染,只有1例死亡.
结论:
- 自然孔样本提取 (NOSE) 是对左侧导管疾病切除的安全和可行的方法.
- 有证据表明,NOSE与减少住院时间以及手术部位感染和死亡率的降低有关.
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