Comparison of short-term efficacy analysis of medium-rectal cancer surgery with robotic natural orifice specimen extraction and robotic transabdominal specimen extraction

Background With the development of minimally invasive technology, the trauma caused by surgery get smaller, At the same time, the specimen extraction surgery through the natural orifice is more favored by experts domestically and abroad, robotic surgery has further promoted the development of specim...

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Bibliographic Details
Published in:BMC surgery 2023-11, Vol.23 (1), p.1-336, Article 336
Main Authors: Ye, Shan-ping, Lu, Wei-jie, Liu, Dong-ning, Yu, Hong-xin, Wu, Can, Xu, Hao-cheng, Li, Tai-yuan
Format: Article
Language:English
Subjects:
Abdomen
Anus
Blood
Blood cell count
Body mass index
C-reactive protein
Cancer
Cancer surgery
Colorectal cancer
Complications
Effectiveness
Hospitals
Inflammation
Laparoscopy
Laparotomy
Leukocytes
Liver
Liver cancer
Medical personnel
Medical research
Medicine, Experimental
Medium-rectal cancer
Metastases
Metastasis
Natural orifice specimen extraction surgery
Nose
Orifices
Patients
Proteins
Rectum
Robot-assisted
Robotic surgery
Surgical outcomes
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Summary:Background With the development of minimally invasive technology, the trauma caused by surgery get smaller, At the same time, the specimen extraction surgery through the natural orifice is more favored by experts domestically and abroad, robotic surgery has further promoted the development of specimen extraction surgery through the natural orifice. The aim of current study is to compare the short-term outcomes of robotic-assisted natural orifice specimen extraction (NOSES ) and transabdominal specimen extraction(TRSE ) in median rectal cancer surgery. Methods From January 2020 to January 2023, 87 patients who underwent the NOSES or TRSE at the First Affiliated Hospital of Nanchang University were included in the study, 4 patients were excluded due to liver metastasis. Of these, 50 patients were in the TRSE and 33 patients in the NOSES. Short-term efficacy was compared in the two groups. Results The NOSES group had less operation time (P < 0.001), faster recovery of gastrointestinal function (P < 0.001), shorter abdominal incisions (P < 0.001), lower pain scores(P < 0.001). lower Inflammatory indicators of the white blood cell count and C-reactive protein content at 1, 3, and 5 days after surgery (P < 0.001, P = 0.037). There were 9 complications in the NOSES group and 11 complications in the TRSE group(P = 0.583). However, there were no wound complications in the NOSES group. The number of postoperative hospital stays seems to be same in the two groups. And there was no significant difference in postoperative anus function (P = 0.591). Conclusions This study shows that NOSES and TRSE can achieve similar radical treatment effects, NOSES is a feasible and safe way to take specimens for rectal cancer surgery in accordance with the indication for NOSES. Keywords: Medium-rectal cancer, Robot-assisted, Natural orifice specimen extraction surgery
ISSN:1471-2482
1471-2482
DOI:10.1186/s12893-023-02216-y