{"title":"Application of Single Stapling Natural Orifice Specimen Extraction Surgery (ssNOSES) in Rectal Cancer.","authors":"Yanle Fang, Hongxun Ruan, Xiaoning Qin, Lin Lin","doi":"10.1097/SLE.0000000000001398","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aims to compare the outcomes of single stapling natural orifice specimen extraction surgery (ssNOSES) with double stapling natural orifice specimen extraction surgery (dsNOSES) in anterior resection for rectal cancer.</p><p><strong>Methods: </strong>A total of 100 patients with rectal cancer were selected from the Colorectal Department of the Second Hospital of Hebei Medical University. These patients underwent Natural Orifice Specimen Extraction Surgery (NOSES) between July 2018 and July 2020. Fifty patients who underwent ssNOSES were compared with fifty patients who underwent dsNOSES. The comparison focused on patient demographics, surgical outcomes, and complications, with a particular emphasis on operative time, cost, and complications.</p><p><strong>Results: </strong>Four cases of anastomotic leakage were observed in the dsNOSES group, and this group also incurred higher costs. Although the surgical time for ssNOSES was longer, the procedure was associated with lower costs and no cases of anastomotic leakage.</p><p><strong>Conclusions: </strong>ssNOSES is a cost-effective and safer alternative to dsNOSES. Furthermore, the surgical time for ssNOSES can be reduced through training and experience.</p>","PeriodicalId":22092,"journal":{"name":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","volume":" ","pages":"1-5"},"PeriodicalIF":1.2000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Laparoscopy, Endoscopy & Percutaneous Techniques","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SLE.0000000000001398","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aims to compare the outcomes of single stapling natural orifice specimen extraction surgery (ssNOSES) with double stapling natural orifice specimen extraction surgery (dsNOSES) in anterior resection for rectal cancer.
Methods: A total of 100 patients with rectal cancer were selected from the Colorectal Department of the Second Hospital of Hebei Medical University. These patients underwent Natural Orifice Specimen Extraction Surgery (NOSES) between July 2018 and July 2020. Fifty patients who underwent ssNOSES were compared with fifty patients who underwent dsNOSES. The comparison focused on patient demographics, surgical outcomes, and complications, with a particular emphasis on operative time, cost, and complications.
Results: Four cases of anastomotic leakage were observed in the dsNOSES group, and this group also incurred higher costs. Although the surgical time for ssNOSES was longer, the procedure was associated with lower costs and no cases of anastomotic leakage.
Conclusions: ssNOSES is a cost-effective and safer alternative to dsNOSES. Furthermore, the surgical time for ssNOSES can be reduced through training and experience.
期刊介绍:
Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.