Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer

Abstract Natural orifice specimen extraction surgery (NOSES) is an intra-abdominal procedure that does not require an auxiliary incision to take a surgical sample from the abdominal wall through the natural orifice, but there are few systematic clinical studies on it. The aim of this study was to de...

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Autores principales:	Yihao Zhu, Huan Xiong, Yinggang Chen, Zheng Liu, Zheng Jiang, Rui Huang, Feng Gao, Qian Zhang, Meng Wang, Yinghu Jin, Tianyu Qiao, Tianyi Ma, Hanqing Hu, Xishan Wang, Qingchao Tang, Guiyu Wang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bc2d74e5b4f7417e8ea367dfceaee026
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spelling	oai:doaj.org-article:bc2d74e5b4f7417e8ea367dfceaee0262021-12-02T14:53:42ZComparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer10.1038/s41598-021-88790-82045-2322https://doaj.org/article/bc2d74e5b4f7417e8ea367dfceaee0262021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88790-8https://doaj.org/toc/2045-2322Abstract Natural orifice specimen extraction surgery (NOSES) is an intra-abdominal procedure that does not require an auxiliary incision to take a surgical sample from the abdominal wall through the natural orifice, but there are few systematic clinical studies on it. The aim of this study was to demonstrate the safety and feasibility of NOSES. We retrospectively analyzed the clinical data and follow-up of 165 patients with low rectal cancer who underwent NOSES or conventional laparoscopic surgery at our center from January 2013 to June 2015. From the perioperative data and postoperative follow-up results of both groups, patients in the NOSES group had less intraoperative bleeding (49.3 ± 55.8 ml vs. 75.1 ± 57.3 ml, p = 0.02), shorter postoperative gastrointestinal recovery (42.3 ± 15.5 h vs. 50.1 ± 17.0 h, p = 0.01), less postoperative analgesic use (35.6% vs. 57.6%, p = 0.02), lower postoperative pain scores, lower rate of postoperative complications (6.8% vs. 25.4%, p = 0.01), better satisfaction of the image and cosmesis of the abdominal wall postoperatively, and higher quality of life. Moreover, there was no significant difference in overall survival (OS) and disease-free survival (DFS) between two groups. Overall, NOSES is a safe and reliable minimally invasive surgical technique for patients with low rectal cancer.Yihao ZhuHuan XiongYinggang ChenZheng LiuZheng JiangRui HuangFeng GaoQian ZhangMeng WangYinghu JinTianyu QiaoTianyi MaHanqing HuXishan WangQingchao TangGuiyu WangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yihao Zhu Huan Xiong Yinggang Chen Zheng Liu Zheng Jiang Rui Huang Feng Gao Qian Zhang Meng Wang Yinghu Jin Tianyu Qiao Tianyi Ma Hanqing Hu Xishan Wang Qingchao Tang Guiyu Wang Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer
description	Abstract Natural orifice specimen extraction surgery (NOSES) is an intra-abdominal procedure that does not require an auxiliary incision to take a surgical sample from the abdominal wall through the natural orifice, but there are few systematic clinical studies on it. The aim of this study was to demonstrate the safety and feasibility of NOSES. We retrospectively analyzed the clinical data and follow-up of 165 patients with low rectal cancer who underwent NOSES or conventional laparoscopic surgery at our center from January 2013 to June 2015. From the perioperative data and postoperative follow-up results of both groups, patients in the NOSES group had less intraoperative bleeding (49.3 ± 55.8 ml vs. 75.1 ± 57.3 ml, p = 0.02), shorter postoperative gastrointestinal recovery (42.3 ± 15.5 h vs. 50.1 ± 17.0 h, p = 0.01), less postoperative analgesic use (35.6% vs. 57.6%, p = 0.02), lower postoperative pain scores, lower rate of postoperative complications (6.8% vs. 25.4%, p = 0.01), better satisfaction of the image and cosmesis of the abdominal wall postoperatively, and higher quality of life. Moreover, there was no significant difference in overall survival (OS) and disease-free survival (DFS) between two groups. Overall, NOSES is a safe and reliable minimally invasive surgical technique for patients with low rectal cancer.
format	article
author	Yihao Zhu Huan Xiong Yinggang Chen Zheng Liu Zheng Jiang Rui Huang Feng Gao Qian Zhang Meng Wang Yinghu Jin Tianyu Qiao Tianyi Ma Hanqing Hu Xishan Wang Qingchao Tang Guiyu Wang
author_facet	Yihao Zhu Huan Xiong Yinggang Chen Zheng Liu Zheng Jiang Rui Huang Feng Gao Qian Zhang Meng Wang Yinghu Jin Tianyu Qiao Tianyi Ma Hanqing Hu Xishan Wang Qingchao Tang Guiyu Wang
author_sort	Yihao Zhu
title	Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer
title_short	Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer
title_full	Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer
title_fullStr	Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer
title_full_unstemmed	Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer
title_sort	comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/bc2d74e5b4f7417e8ea367dfceaee026
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Comparison of natural orifice specimen extraction surgery and conventional laparoscopic-assisted resection in the treatment effects of low rectal cancer

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