[1]王 辉,刘爱芬.NOTES腹腔镜下直肠癌根治术治疗直肠癌的效果[J].医学信息,2020,33(17):95-97.[doi:10.3969/j.issn.1006-1959.2020.17.027]
　WANG Hui,LIU Ai-fen.The Effect of Laparoscopic Radical Resection of Rectal Cancer in the Treatment of Rectal Cancer by NOTES[J].Medical Information,2020,33(17):95-97.[doi:10.3969/j.issn.1006-1959.2020.17.027]
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NOTES腹腔镜下直肠癌根治术治疗直肠癌的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年17期
页码:
95-97
栏目:
临床研究
出版日期:
2020-09-01

文章信息/Info

Title:
The Effect of Laparoscopic Radical Resection of Rectal Cancer in the Treatment of Rectal Cancer by NOTES
文章编号:
1006-1959（2020）17-0095-03
作者:
王 辉; 刘爱芬
（1.天津市公安医院普外科，天津 300042；2.天津医科大学附属第二医院麻醉科，天津 300021）
Author(s):
WANG Hui; LIU Ai-fen
(1.General Surgery,Tianjin Public Security Hospital,Tianjin 300042,China;2.Department of Anesthesiology, the Second Affiliated Hospital of Tianjin Medical University,Tianjin 300021)
关键词:
经自然腔道内镜手术; 直肠癌; 生存质量
Keywords:
Natural endoscopic surgery; Rectal cancer; Quality of life
分类号:
R735.3
DOI:
10.3969/j.issn.1006-1959.2020.17.027
文献标志码:
A
摘要:
目的 探讨经自然腔道内镜手术（NOTES）治疗直肠癌的效果。方法 选取2018年1月~2020年6月我院经手术治疗的100例低位直肠癌患者作为研究对象，根据不同手术方法分为对照组54例和NOTES组46例。对照组采用传统腹腔镜低位直肠癌手术治疗，NOTES组采用NOTES手术治疗，比较两组手术时间、手术出血量、近切缘距肿瘤上缘距离、远切缘距肿瘤下缘距离、清扫淋巴结数目、术后3个月生存质量、手术并发症发生情况。结果 两组手术时间、近切缘距肿瘤上缘距离、远切缘距肿瘤下缘距离、清扫淋巴结数目比较，差异无统计学意义（P＞0.05）；NOTES组手术出血量低于对照组，差异有统计学意义（P＜0.05）；NOTES组手术并发症发生率为15.22%，与对照组的27.78%比较，差异无统计学意义（P＞0.05）；术后3个月，NOTES组躯体功能、角色功能、躯体疼痛、整体健康状况评分高于对照组，差异有统计学意义（P＜0.05）；两组情绪功能、认知功能、社会功能、精力评分比较，差异无统计学意义（P＞0.05）。结论 NOTES治疗直肠癌的效果与传统腹腔镜手术效果相当，但出血量更少，术后患者的生存质量更好。
Abstract:
Objective To investigate the effect of natural endoscopic surgery (NOTES) in the treatment of rectal cancer.Methods A total of 100 patients with low rectal cancer who had undergone surgery in our hospital from January 2018 to June 2020 were selected as the research objects. According to different surgical methods, they were divided into control group 54 cases and NOTES group 46 cases. The control group was treated with traditional laparoscopic low rectal cancer surgery, and the NOTES group was treated with NOTES surgery. The operation time, surgical blood loss, distance between the proximal resection edge and the upper edge of the tumor, the distance between the far resection edge and the lower edge of the tumor, and the number of lymph nodes were compared between the two groups, 3 months after the operation, quality of life, surgical complications. Results There was no significant difference in the operation time, the distance between the proximal resection margin and the upper edge of the tumor, the distance between the distal resection margin and the lower edge of the tumor, and the number of lymph nodes dissected between the two groups (P>0.05); the surgical blood loss in the NOTES group was lower than that in the control group,there was statistical significance (P<0.05); the incidence of surgical complications in the NOTES group was 15.22%, compared with 27.78% in the control group, the difference was not statistically significant (P>0.05);3 months after surgery, the scores of physical function, role function, physical pain, and overall health in the NOTES group were higher than those of the control group,the difference was statistically significant (P＜0.05); the two groups’ emotional function, cognitive function, social function, energy score comparison showed no statistically significant difference (P>0.05).Conclusion The effect of NOTES in the treatment of rectal cancer was comparable to that of traditional laparoscopic surgery, but with less bleeding and better quality of life for patients after surgery.

参考文献/References:

[1]赵丹,陈杰,丁成明,等.经自然腔道取标本完全腹腔镜下结直肠癌根治术的研究[J].中国内镜杂志,2017,23(12):36-40．[2]李经珒,杨桦,杜吉义.经脐整形切口手助式腹腔镜直肠癌根治术临床应用20例分析[J].贵州医药,2016,40(3):289-290．[3]闫峰,白利平,王振发,等.腹腔镜辅助经自然腔道取出标本的结肠次全切除术治疗结肠冗长症[J].中华胃肠外科杂志,2016,19(8):952-955．[4]张焕标,俞金龙,崔春晖.经自然腔道取出标本手术联合加速康复理念在结直肠癌治疗中的应用[J].中华胃肠外科杂志,2016,19(12):1419-1421．[5]王新,马永勋,张晓农.单孔腹腔镜乙状结肠及直肠癌根治术可行性及效果研究[J].蚌埠医学院学报,2018(7):868-873.[6]丁海涛,帕尔哈提·阿布都热衣木,韩智君,等.结直肠癌NOSE术对患者氧化应激、免疫功能及机体微炎症的影响[J].中国现代手术学杂志,2017,21(1):9-13.[7]郑民华,马君俊.微创技术在中国结直肠肿瘤手术中应用的历史与发展趋势[J].中华胃肠外科杂志,2016,19(8):841-845.[8]张国玺,刘全亮,邹晓峰,等.经阴道自然腔道内镜手术肾切除术并发症的临床分析[J].中华泌尿外科杂志,2016,37(9):647-651.[9]邓建中,张梓朗,林义办,等.单孔腹腔镜直肠前切除术治疗乙状结肠及直肠癌的体会[J].中华胃肠外科杂志,2019,22(8):786-788.[10]周小林,周宏,杨颖,等.基于文献计量的国内自然腔道内镜手术发展现状分析[J].局解手术学杂志,2017,26(7):492-495.[11]李淑玲,李闻.经自然腔道内镜手术技术及设备的发展现状[J].中华消化内镜杂志,2018,35(5):375-378.[12]汪鹏,潘骏,王东,等.从传统到新经自然腔道内镜手术:内镜治疗的创新发展[J].中华消化内镜杂志,2017,34(1):14-18.[13]许淑镇,丁志杰,张诗峰,等.基于倾向值匹配法对LA-NOSE左结直肠癌根治术近期疗效分析[J].中华医学杂志,2016,96(20):1578-1581.

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更新日期/Last Update: 1900-01-01