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自然腔道取直肠癌标本的进展研究
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Abstract:
在过去的30年里，结直肠手术已经发展到包括微创手术技术。微创手术与减少术后疼痛、减少伤口并发症、更早恢复肠道功能以及可能缩短住院时间有关。与开放手术相比，这些好处归因于手术创伤的减少。通过“微型剖腹手术”在结直肠手术中提取标本的需要会抵消微创手术的许多优势。自然孔道标本提取则体现了巨大的优势，例如阴道或远端胃肠道，以取出标本。该技术的前提是减少移除标本所需的创伤，并期望这可以改善结果。与传统标本提取相比，在使用NOSE的结直肠手术中观察到术后镇痛药使用减少、肠功能恢复更快和住院时间更短。
In the past 30 years, colorectal surgery has evolved to include minimally invasive surgical tech-niques. Minimally invasive surgery is associated with reducing postoperative pain, reducing wound complications, restoring intestinal function earlier, and possibly shortening hospital stay. Compared to open surgery, these benefits are attributed to a reduction in surgical trauma. The need to extract specimens during colorectal surgery through “mini laparotomy” will offset many of the advantages of minimally invasive surgery. The extraction of natural pore specimens demonstrates significant advantages, such as the vagina or distal gastrointestinal tract, in order to extract specimens. The premise of this technology is to reduce the trauma required to remove specimens, and it is expected that this can improve the results. Compared to traditional specimen extraction, reduced postopera-tive analgesic use, faster intestinal function recovery, and shorter hospital stay were observed in colorectal surgery using NOSE.
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