The patient (P) is Mrs. PTN (73 years old), hospitalized due to bloody mucus in the stool. The patient had a malignant tumor in the distal sigmoid colon, infiltrating the surrounding fat layer and a 1.5 cm metastasis in the left liver.
Doctors at Hanoi Oncology Hospital apply NOSE surgical technique for patients with metastatic colorectal cancer.
Doctors applied the NOSE technique to perform laparoscopic surgery to resect the colon and rectum, widely dissect the lymph nodes and resect the left liver segment 2, and take the specimen through the natural route (vaginal route). The surgery took place in 180 minutes, the patient was almost painless after surgery; 6 hours after surgery, the patient could sit up; was instructed to walk, and was rehabilitated 24 hours after surgery.
Dr. Le Van Thanh, Deputy Director, Head of General Surgery Department, Hanoi Oncology Hospital, said that this technique has many advantages for patients such as: limiting intestinal contraction, easily controlling the direction of intestinal peristalsis, mesentery and assessing the condition of the anastomosis during endoscopy, but requires the surgeon's experience... Compared with conventional laparoscopic surgery, NOSE reduces postoperative pain better, postoperative mobility and recovery are faster, patients have almost no surgical scars, thus ensuring better aesthetics.
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