| 引用本文： |
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陈春球,陈 泓,朱春燕,等.腹腔镜辅助结直肠肿瘤经自然腔道标本取出手术疗效分析[J].同济大学学报（医学版）,2019,40(1):55-60. [点击复制]
- CHEN Chun-qiu,CHEN Hong,ZHU Chun-yan,et al.Short-and long-term outcomes of laparoscopy-assisted natural orifice specimen extraction in treatment of sigmoid colon and rectal tumors[J].同济大学学报（医学版）,2019,40(1):55-60. [点击复制]
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| 摘要: |
| 目的 探讨腹腔镜辅助经自然腔道标本取出术（natural orifice specimen extraction, NOSE）在乙状结肠以及直肠肿瘤治疗中的近、远期疗效。方法 对2012年1月—2017年12月行该术式的98例患者进行回顾性分析，根据肿瘤距肛缘的距离分为距肛15~30cm(A组)、距肛5~15cm(B组)、距肛≤5cm(C组)共3组。分析3组患者的基线资料以及术中、术后相关指标。结果 A组的手术时间、出血量以及术后早期并发症发生率均小于其他两组（P＜0.01）。三组患者的术后长期并发症发生率以及生存时间差异无统计学意义（P＞0.05）。结论 腹腔镜辅助结直肠肿瘤NOSE术是安全可行的，且具有美观、术后恢复快等优点，值得进一步推广。 |
| 关键词: 腹腔镜 乙状结肠 直肠 经自然腔道标本取出 肿瘤 |
| DOI：10.16118/j.1008-0392.2019.01.011 |
| 投稿时间：2018-09-02 |
| 基金项目:上海市卫生局课题（201540382）；同济大学附属第十人民医院350临床研究项目（DS049917017） |
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| Short-and long-term outcomes of laparoscopy-assisted natural orifice specimen extraction in treatment of sigmoid colon and rectal tumors |
| CHEN Chun-qiu,CHEN Hong,ZHU Chun-yan,HAN Yi,YIN Lu |
| (Dep. of Abdominal Surgery, Tenth People’s Hospital, Tongji University, Shanghai 200072, China;Dep. of Surgery, Ruijin Hospital, Jiao Tong University School of Medicine, Shanghai 200020, China) |
| Abstract: |
| Objective To evaluate the short-and long-term outcomes of laparoscopic-assisted natural orifice specimen extraction(NOSE) for treatment of tumors in the sigmoid colon and rectum. Methods Ninety-eight patients with sigmoid colon and rectal tumors undergoing laparoscopic-assisted NOSE from January 2015 to December 2017 were retrospectively reviewed. The patients were classified into three group according to the distance of their tumors from the anal verge： group A(15-30cm), group B(5-15cm) and group C(≤5cm). Results Patients in group A had less operation time, estimated blood loss and short-term postoperative complication compared with the other two groups(P＜0.01). There were no significant differences among the three groups in long-term complications and survival time(P＞0.05). Conclusion NOSE is safe and less invasion and worth further promotion. |
| Key words: laparoscopic sigmoid colon rectum natural orifice specimen extraction tumor |
