Keywords
Natural orifice specimen extraction surgery
Rectal cancer
Clinical outcome
Submitted : 2022-08-06
Accepted : 2022-08-21
Published : 2022-09-05
Abstract
Objective: To investigate the effect of 3D laparoscopic natural orifice specimen extraction surgery as rectal cancer treatment. Methods: The study was carried out in Shaanxi Provincial People’s Hospital from July 2021 to July 2022. 80 rectal cancer patients were selected and divided into two groups which are the experimental group and control group. The experimental group was given 3D laparoscopic surgery while the control group was given 2D laparoscopic surgery. The results were compared and analysed. Results: The patients in the experimental group had shorter operative and evacuation times, less intraoperative bleeding, and a lower rate of complications. Conclusion: The clinical application of 3D laparoscopic radical surgery for rectal cancer via natural lumen extraction is more effective, which can promote patients' recovery and reduce the incidence of adverse events.
References
Bai JW, Li JM, Zhang C, et al., 2021, Clinical Efficacy of 3D Laparoscopic Radical Surgery for Rectal Cancer with Preservation of the Left Colonic Artery Combined with Specimen Retrieval via the Natural Lumen. Chinese Journal of Gastrointestinal Surgery, 20(12): 1337–1341
Feng D, 2018, Effect of Laparoscopic Colorectal Cancer Specimen Removal via Natural Lumen Versus Conventional Laparoscopic Radical Colorectal Cancer on Patients' Postoperative Recovery. Modern Oncology Medicine, 26(22): 3601–3605.
Ding C M, Peng J, Qiu J, et al., 2018, Clinical effect analysis of complete laparoscopic radical surgery for Colorectal Cancer via Natural Luminal Access to the Specimen (with 50 case reports). Chinese Journal of Endoscopy, 24(6): 97–101.
Gao H, 2020, Comparing the Effects of Laparoscopic Colorectal Cancer Specimen Removal via Natural Orifice Extraction (NOSE) with Conventional Laparoscopic Radical Colorectal Cancer Resection (LCR) on Patients' Postoperative Recovery. China Medical Device Information, 26(4): 28–29.
Xie W, Ding ZJ, Yuan SB, et al., 2019, Technique of Laparoscopic-Assisted Natural Lumen Extraction of Specimens in Radical Surgery for Left Colorectal Cancer Using the Cai's Trocar. Chinese Journal of Gastrointestinal Surgery, 22(6): 587–590.
Li J, 2020, Analysis of the Recent Efficacy of Laparoscopic Colorectal Cancer Surgery via Natural Lumen Extraction Specimen (NOSES), dissertation, Chengdu Medical College.
Fu J, 2020, Clinical Comparison Study of Transnatural Lumen Extraction Surgery and Traditional Laparoscopic Rectal Cancer Surgery, dissertation, Anhui Medical University.
Luo M, Kong G, Deng N, et al., 2021, Application of the Concept of Rapid Rehabilitation in the Treatment of Rectal Cancer through Natural Cavity Removal Surgery. The Great Physician, 6(14): 49–52.
Xing YL, Liu G, Wu ZH, et al., 2021, Effects of Colorectal Cancer Specimen Removal via Natural Lumen on Oxidative Stress and Immune Function of Patients. Journal of Yujiang Ethnic Medical College, 43(2): 226–230.
Zhang C, Li J, Bai J, et al., 2020, Factors Affecting Defecation Function After Laparoscopic Low Rectal Cancer with Transrectal Specimen Retrieval. Journal of laparoscopic surgery, 25(11):835–839.
Fan T, Li HS, 2020, Postoperative Comparison of Laparoscopic Rectal Cancer Surgery via Natural Cavity Extraction of Specimen with Conventional Laparoscopic-assisted Radical Rectal Cancer. Health Care Guide, 2020(18): 6 + 49.
Wang S-L, Ma R-Y, Yin J-X, et al., Comparative Analysis of Clinical Efficacy of Laparoscopic Transnatural Luminal Specimen Retrieval and Conventional Laparoscopic Low Anterior Rectal Resection. Chinese Journal of General Surgery (Electronic Version), 14(1): 50–53.
Chai S-W, 2020, Analysis of the Efficacy of Laparoscopic Colorectal Cancer NOSES and the Effect on Oxidative Stress and Inflammatory Response. Medical Research and Education, 37(5):31–35.
Meng ZP, 2021, Clinical Comparison Study of NOSES-I Type E Method and Laparoscopic Low Anterior Resection Method in the Treatment of Ultra-low Rectal Cancer, dissertation, Shanxi Medical University.
Tang CH, Yang ZW, Xie GR, 2021, Exploration of the Effect of Radical Treatment of Low Rectal Cancer with Complete Laparoscopic Low Rectal Cancer with Specimens Taken Through the Natural Lumen. Contemporary Medicine Series, 19(19): 25 + 26.
Guan M, Ma S, Xu D, et al., 2021, Clinical Efficacy of Laparoscopic Left Colorectal Cancer Radical Surgery with Specimen Retrieval Through the Natural Lumen. Journal of Localized Surgery, 30(7): 615–618.
Wang W, 2021, Analysis of Rapid Rehabilitation in Laparoscopic Radical Rectal Cancer Surgery with Natural Luminal Specimen Removal Through the Anus. China Modern Drug Application, 15(7): 246–248.
Liu Y, 2021, Laparoscopic Specimen Retrieval via Natural Cavity Specimen versus Conventional Laparoscopic Radical Colorectal Cancer Surgery in Patients with Colorectal Cancer. China Health Care Nutrition, 31(25): 264.
Lao J M, Deng W, Wei S, et al., 2020, Clinical Analysis of Laparoscopic Radical Rectal Cancer Specimen Retrieval via Natural Channel. Chinese and Foreign Medical Research, 18(19): 137–139.
Zhang MF, Wu YF, 2020, Effect of Complete Laparoscopic Radical Rectal Cancer Resection Without Abdominal Adjuvant Incision via Natural Cavity for Specimen Retrieval on Third Gap Effect. Chinese Journal of Surgical Oncology, 12(1): 54–59.