[Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching study
[Background] Natural orifice specimen extraction surgery (NOSES) has been increasingly applied in radical surgery of abdominal and pelvic organs, but it is still in the exploratory stage. There is insufficient evidence to prove its efficacy. [Methods] From January 2013 to June 2017, a total of 351 p...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | Chinese |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2022-10-01
|
| Series: | 结直肠肛门外科 |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=514&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839641903588442112 |
|---|---|
| author | Wang Tao |
| author_facet | Wang Tao |
| author_sort | Wang Tao |
| collection | DOAJ |
| description | [Background] Natural orifice specimen extraction surgery (NOSES) has been increasingly applied in radical surgery of abdominal and pelvic organs, but it is still in the exploratory stage. There is insufficient evidence to prove its efficacy. [Methods] From January 2013 to June 2017, a total of 351 patients diagnosed with rectal cancer were eventually included in this study. Patients who underwent NOSES were assigned to the NOSES group, while patients undergoing conventional laparoscopic assisted resection were assigned as to the LAP group. Propensity score matching was used to align clinicopathological features between the two groups. [Results] From the perioperative data and postoperative follow-up results of both groups, patients in the NOSES group had less intraoperative bleeding (47.0 ± 60.4 ml vs 87.1 ± 101.2 ml, P = 0.011), shorter postoperative gastrointestinal recovery (50.7 ± 27.3 h vs 58.6 ± 28.5 h, P = 0.040), less postoperative analgesic use (36.8% vs 52.8%, P = 0.019), lower postoperative pain scores (P < 0.001), lower rate of postoperative complications (5.7% vs 15.5%, P = 0.020), more satisfaction with body image (P = 0.001) and cosmesis (P < 0.001) postoperatively. The NOSES group had a higher quality of life. Moreover, there was no significant difference in overall survival (OS) and disease-free survival (DFS) between the two groups. [Conclusion] NOSES could be a safe and reliable technique for radical resection of rectal cancer, with better short-term outcomes than conventional laparoscopy, while long-term survival is not significantly different from that of conventional laparoscopic surgery. |
| format | Article |
| id | doaj-art-beb113bdfce440ffb51ced7654e9f6ce |
| institution | Matheson Library |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2022-10-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-beb113bdfce440ffb51ced7654e9f6ce2025-07-03T02:12:32ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912022-10-0128548949110.19668/j.cnki.issn1674-0491.2022.05.014[Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching studyWang Tao0Department of Anorectal Diseases, Gansu Provincial People's Hospital/Gansu Provincial Clinical Research Center for Anorectal Diseases, Lanzhou 730000, Gansu, China[Background] Natural orifice specimen extraction surgery (NOSES) has been increasingly applied in radical surgery of abdominal and pelvic organs, but it is still in the exploratory stage. There is insufficient evidence to prove its efficacy. [Methods] From January 2013 to June 2017, a total of 351 patients diagnosed with rectal cancer were eventually included in this study. Patients who underwent NOSES were assigned to the NOSES group, while patients undergoing conventional laparoscopic assisted resection were assigned as to the LAP group. Propensity score matching was used to align clinicopathological features between the two groups. [Results] From the perioperative data and postoperative follow-up results of both groups, patients in the NOSES group had less intraoperative bleeding (47.0 ± 60.4 ml vs 87.1 ± 101.2 ml, P = 0.011), shorter postoperative gastrointestinal recovery (50.7 ± 27.3 h vs 58.6 ± 28.5 h, P = 0.040), less postoperative analgesic use (36.8% vs 52.8%, P = 0.019), lower postoperative pain scores (P < 0.001), lower rate of postoperative complications (5.7% vs 15.5%, P = 0.020), more satisfaction with body image (P = 0.001) and cosmesis (P < 0.001) postoperatively. The NOSES group had a higher quality of life. Moreover, there was no significant difference in overall survival (OS) and disease-free survival (DFS) between the two groups. [Conclusion] NOSES could be a safe and reliable technique for radical resection of rectal cancer, with better short-term outcomes than conventional laparoscopy, while long-term survival is not significantly different from that of conventional laparoscopic surgery.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=514&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
| spellingShingle | Wang Tao [Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching study 结直肠肛门外科 |
| title | [Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching study |
| title_full | [Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching study |
| title_fullStr | [Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching study |
| title_full_unstemmed | [Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching study |
| title_short | [Comment] Long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic-assisted resec tion in the treatment of rectal cancer: a propensity-score matching study |
| title_sort | comment long term oncologic outcomes of natural orifice specimen extrac tion surgery versus conventional laparoscopic assisted resec tion in the treatment of rectal cancer a propensity score matching study |
| url | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=514&cateName=2022%E5%B9%B4%20%E7%AC%AC28%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F |
| work_keys_str_mv | AT wangtao commentlongtermoncologicoutcomesofnaturalorificespecimenextractionsurgeryversusconventionallaparoscopicassistedresectioninthetreatmentofrectalcancerapropensityscorematchingstudy |