在结直肠癌中应用单个拼接自然孔样本提取手术 (ssNOSES)
Yanle Fang1, Hongxun Ruan, Xiaoning Qin
1Department of Colorectal Surgical Oncology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.
概括
在直肠癌前切除术中,单截取自然孔样本提取手术 (ssNOSES) 是比双截取 (dsNOSES) 更安全,更具成本效益的选择. ssNOSES 没有显示出动脉漏和降低成本,这表明它有可能改善患者的治疗结果.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 最少侵入性手术的方法
背景情况:
- 自然孔样本提取手术 (NOSES) 为直肠癌提供了一种最少的侵入性方法.
- 对比不同的NOSES技术对于优化患者护理和手术结果至关重要.
研究的目的:
- 为了比较单个截取 (ssNOSES) 与双截取 (dsNOSES) 在直肠癌前切除中的临床结果.
- 评估ssNOSES和dsNOSES之间的操作时间,成本效益和并发症率.
主要方法:
- 一项回顾性研究比较了100名接受直肠癌前切除术的患者.
- 在2018年7月至2020年7月期间,50名患者接受了ssNOSES,50名患者接受了dsNOSES.
- 分析的重点是患者人口统计学,手术结果,手术时间,成本和并发症,特别是静脉漏.
主要成果:
- 双接自然孔样本提取手术 (dsNOSES) 组经历了四例解静脉泄漏和更高的整体成本.
- 单次截取自然孔样本提取手术 (ssNOSES) 导致成本降低,尽管潜在的手术时间更长,但无动脉泄漏.
- 与dsNOSES相比,ssNOSES显示出了有利的安全性和经济效益.
结论:
- 单个截取自然孔样本提取手术 (ssNOSES) 为直肠癌前切除提供了dSNOSES的经济有效和更安全的替代方案.
- 进一步的培训和经验可能会减少与ssNOSES相关的操作时间.
- 由于在直肠癌手术中提高了安全性和成本效益,建议使用ssNOSES.
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