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Medical Diagnosis 2025
结直肠肿瘤经自然腔道取标本手术的技术发展与应用现状
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Abstract:
经自然腔道取标本手术(Natural Orifice Specimen Extraction Surgery, NOSES)避免了腹壁的辅助切口，有极佳的微创效果。与传统腹腔镜手术相比，NOSES在确保彻底切除肿瘤的同时也最大限度地保留了腹壁原有的功能，规避了与腹壁切口相关的并发症，具有术后恢复快、疼痛轻、美容效果好以及术后并发症少等优点。文章综合分析了近年来有关文献的研究成果与报道，深入探讨了经自然腔道取标本手术(NOSES)在结直肠癌领域的发展历程、主要分类、适应症与禁忌症、优点与争议等方面，旨在为临床应用提供参考。
Natural Orifice Specimen Extraction Surgery (NOSES) eliminates the need for auxiliary abdominal wall incisions, offering exceptional minimally invasive outcomes. Compared to traditional laparoscopic surgery, NOSES ensures complete tumor removal while preserving the abdominal wall’s natural function to the greatest extent, thus sidestepping complications linked to abdominal wall incisions. It boasts advantages such as swift postoperative recovery, minimal pain, excellent cosmetic results, and fewer postoperative complications. This article thoroughly analyzes recent research findings and relevant literature reports, delving into the evolution, primary classifications, indications, contraindications, strengths, and controversies of NOSES in colorectal cancer. The aim is to offer a reference for clinical application.
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