Abstract:
Objective To investigate the clinical effects of different surgical procedures in natural cavity sampling (NOSES) for rectal cancer.
Methods The data of 42 patients with low colorectal cancer treated with NOSES in our hospital from September 2017 to May 2019 were retrospectively analyzed. They were divided into Parks method group(20 cases) and the modified group(22 cases) according to the different surgical procedures. SPSS 22.00 statistical software was used for data analysis.The perioperative indicators were expressed as (±s), Independent sample t test was used to compare. Postoperative complication rate and Wexner incontinence score were assessed using χ2 or Fisher test. P<0.05 was statistically significant.
Results The time of getting out of bed, anal exhaust time and postoperative hospital stay in the modified group were significantly less than those in the Parks group (P<0.05). The postoperative complications, tumor recurrence rate, distant metastasis rate and Wexner score in the modified group were all better than the Parks group, but the differences were not statistically significant (P>0.05).
Conclusion Both of the two surgical methods are safe and feasible in NOSES for lower rectal cancer and have important clinical significance. However, patients who underwent two-step rectal resection combined with modified nail-to-nail binding line anastomosis had a faster recovery.
Key words:
Colorectal neoplasms,
Digestive tract reconstruction,
Colon anal anastomosis,
NOSES surgery
Hongyuan Jiang, Yaping Li, Mingjie Zhu, Jian Wang, Jie Dan, Yonghong Wang, Zhong Peng. Clinical application of different surgical methods in NOSES for rectal cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(04): 350-353.