标题：经自然腔道取标本手术在结直肠癌根治术中的发展与现状

      作者：李明尚 1 综述 黄许森 2审校    1.右江民族医学院附属医院胃肠外科，广西 百色 533000；2.右江民族医学院，广西 百色 533000

      卷次： 2021年32卷20期

      【摘要】 经自然腔道取标本手术(NOSES)术后患者腹壁无取标本的辅助切口，仅留有几处微小的Trocar (一次性穿刺孔)疤痕，表现出极好的微创效果。NOSES术既保证肿瘤的根治性切除，又可避免腹壁的辅助取标本切口，从而展现出了极佳的微创效果。本文结合近几年相关文献的研究与报道，将NOSES在结直肠癌手术中的应用现状与该手术的安全性及效益做一综述。
      【关键词】 结直肠癌；腹腔镜手术；微创；辅助切口；经自然腔道取标本术
      【中图分类号】 R735 【文献标识码】 A 【文章编号】 1003—6350（2021）20—2688—04

Development and current status of natural orifice specimen extraction surgery in radical resection of colorectalcancer.
LI Ming-shang 1. HUANG Xu-sen 2. 1. Department of Gastrointestinal Surgery, Affiliated Hospital of YoujiangMedical University for Nationalities, Baise 533000, Guangxi, CHINA; 2. Youjiang Medical University for Nationalities, Baise533000, Guangxi, CHINA【Abstract】 After natural orifice specimen extraction surgery, there is no auxiliary incision on the abdominal wallof the patient. Only a few tiny Trocar scars are left, showing an excellent minimally invasive effect. NOSES operation notonly ensures radical resection of the tumor, but also avoids the auxiliary incision of the abdominal wall to take the speci-men, thus showing an excellent minimally invasive effect. In this paper, the application status of NOSES in colorectal can-cer surgery and the safety and benefit of this operation are reviewed based on the relevant literatures in recent years.
      【Key words】 Colorectal cancer; Laparoscopic surgery; Minimally invasive; Auxiliary incision; Natural orificespecimen extraction surgery (NOSES)·综述·doi:10.3969/j.issn.1003-6350.2021.20.028