经自然腔道取标本手术在结直肠外科手术中的应用进展

随着腔镜技术的进一步发展以及微创理念应用于结直肠外科疾病的诊治中,结直肠相关疾病的诊治发生了翻天覆地的变化。由传统的经腹手术到腹腔镜手术、经自然腔道手术,再到经自然腔道取标本手术(NOSES),结直肠疾病的外科诊治在微创领域取得了巨大成果。NOSES技术是目前结直肠外科在微创领域前沿的手术方式之一,它通过经直肠、阴道取标本来避免了腹壁的辅助取标本切口,从而将结直肠外科手术进一步微创化。NOSES技术集传统腹腔镜手术的优势与现代微创外科的理念于一体,它在确保手术效果的基础上集中体现了微创、加速康复外科、功能外科、"无疤"等理念的特点。本文主要就国内外各中心开展NOSES技术在结直肠外科诊治开展中的相关经验、心得和体会进行综述。

Advances in the application of natural orifice specimen extraction surgery in colorectal surgery

With the further development of endoscopic technology and the application of minimally invasive concept in the diagnosis and treatment of colorectal surgery diseases,the diagnosis and treatment of colorectal related diseases have undergone tremendous changes.Surgical diagnosis and treatment of colorectal diseases have achieved great results in the minimally invasive field,ranging from traditional transabdominal surgery to laparoscopic surgery,transvaginal surgery,and transvaginal specimen removal.One of the most cutting-edge surgical methods in the field of minimally invasive colorectal surgery at present,this method avoids the incision in the abdominal wall by taking specimens through the rectum and vagina,thus further minimally invasive colorectal surgery.The NOSES technology combines the advantages of traditional laparoscopic surgery with the concept of modern minimally invasive surgery.It embodies the characteristics of minimally invasive,fast track rehabilitation in surgery,functional surgery and other concepts on the basis of ensuring the operation effect.This paper mainly summarizes the relevant experience,experience and experience in the development of colorectal surgery diagnosis and treatment by carrying out the nose technology at home and abroad.