四川大学学报（医学版）2026，Vol.57Issue(3)：657-661,5.DOI:10.12182/20260560502
腹部无辅助切口经阴道拖出标本的机器人右半结肠癌根治术的临床研究
Clinical Study of Robotic Natural Orifice Specimen Extraction Surgery for Right Colon Cancer
摘要
Abstract
Objective To evaluate the safety and feasibility of robotic natural orifice specimen extraction surgery(NOSES)for right colon cancer.Methods Twenty-two female patients undergoing this procedure between January 1,2022 and January 31,2025 were enrolled.Safety and feasibility were assessed by analyzing operative time,intraoperative blood loss,conversion rate to open surgery,postoperative complications,30-day mortality,and 30-day unplanned surgery-related readmission rate.Results All procedures were completed successfully.The median operative time was 158 min(152-169 min),and the median blood loss was 53 mL(43-75 mL).No conversions to open surgery occurred.The first postoperative flatus occurred at a median of 53.00 h(49.25-57.50 h),and the median postoperative hospital stay was 9.00 d(8.00-11.00 d).Postoperative complications included one case of intestinal obstruction.No anastomotic leakage,anastomotic bleeding,vaginal hemorrhage,vaginal infection,or abdominal infection was observed.There were no deaths within 30 days and no unplanned surgery-related readmissions.Conclusion Robotic NOSES for right colon cancer is safe and feasible.关键词
右半结肠癌/机器人手术/经自然腔道取标本手术Key words
Right colon cancer/Robotic surgery/Natural orifice specimen extraction surgery引用本文复制引用
刘东宁,周睿辰,肖锋,胡文俊,何鹏辉,高庚妹,梁亚航,李太原..腹部无辅助切口经阴道拖出标本的机器人右半结肠癌根治术的临床研究[J].四川大学学报（医学版）,2026,57(3):657-661,5.基金项目
This study was supported by the Jiangxi Provincial Health Commission Science and Technology Program(No.202210029). 江西省卫生健康委科技计划(No.202210029)资助 （No.202210029）
