Minimally Invasive Concepts in Treating Synchronous Liver Metastases Rectal Cancer Patients: Report of Six Cases.

IF 2.1 4区医学 Q2 SURGERY

Journal of Investigative Surgery Pub Date : 2022-09-01 Epub Date: 2022-07-10 DOI:10.1080/08941939.2022.2088905

Hao Zhang, Yinghu Jin, Rui Huang, Guiyu Wang

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引用次数: 0

Abstract

Background: Rectal cancer patients with synchronous liver metastases (SLM) is common in clinical practice. However, the application of conventional natural orifice specimen extraction surgery (NOSES) and NOSES with specimen extraction via stoma/hepatectomy incision in the special population is rarely explored.

Case report: Six SLM rectal cancer patients were treated with simultaneous surgical resection and the specimens were extracted via anal/stoma/hepatectomy incision. Respectively, intraoperative and postoperative data, anal function 3 months after surgery and long-term prognosis were reviewed.

Results: Intraoperative and postoperative data and anal function were reliable for the six cases. Only one patient died of brain and bone metastases at 84 months after surgery and the other five patients were alive at their last follow-up.

Conclusions: Simultaneous surgical resection with the concept of conventional NOSES and NOSES with specimen extraction via stoma/hepatectomy incision is safety for SLM rectal patients.

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微创治疗同步性肝转移直肠癌6例报告。

背景:直肠癌伴同步肝转移(SLM)在临床上较为常见。然而，传统的自然口标本提取手术(鼻)和鼻与经口/肝切除切口标本提取在特殊人群中的应用很少被探索。病例报告:6例SLM直肠癌患者行同期手术切除，标本经肛门/造口/肝切除切口取出。分别回顾术中、术后资料、术后3个月肛门功能及远期预后。结果:6例患者术中、术后资料及肛门功能可靠。只有一名患者在手术后84个月死于脑和骨转移，其他5名患者在最后一次随访时还活着。结论:直肠SLM患者同时行常规鼻及鼻联合造口/肝切除切口取标本是安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Investigative Surgery 医学-外科

CiteScore

4.20

自引率

0.00%

发文量

114

审稿时长

6-12 weeks

期刊介绍： Journal of Investigative Surgery publishes peer-reviewed scientific articles for the advancement of surgery, to the ultimate benefit of patient care and rehabilitation. It is the only journal that encompasses the individual and collaborative efforts of scientists in human and veterinary medicine, dentistry, basic and applied sciences, engineering, and law and ethics. The journal is dedicated to the publication of outstanding articles of interest to the surgical research community.