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《Journal of Third Military Medical University》 2018-01
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Value of natural orifice transluminal endoscopic surgery in diagnosis of unexplained ascites

YANG Mei;LIU Li;CHEN Lei;TANG Xudong;HE Tianhu;Institute of Gastroenterology,Southwest Hospital,Third Military Medical University;  
Objective To assess whether natural orifice transluminal endoscopic surgery(NOTES) is a reliable technique for the diagnoses of patients with unexplained ascites. Methods The clinical data of patients with unexplained ascites who were diagnosed by NOTES(n = 11) or laparoscopic surgery(n = 12) in our institute from January 2015 to March 2017 were collected and analyzed. Diagnosed rate,postoperative pain,postoperative complications,enroll to surgery time,and hospital costs were compared between the 2 groups. Results All 23 patients with unexplained ascites were diagnosed after NOTES or diagnostic laparoscopic surgery. No bleeding,perforation,infection or other complications after surgery were observed in both groups. The visual analogue scale(VAS) of postoperative pain was significantly lower in the patients of NOTES group than those of the laparoscopic surgery group(P 0. 05). The length of hospital stay and cost of hospitalization were significantly lower in the NOTES group than in the other group(P 0. 05). Conclusion NOTES can significantly reduce the patient's postoperative pain,shorten the hospital stay,and reduce the cost of hospitalization. NOTES is a new technology worthy of clinical promotion.
【Fund】: 第三军医大学西南医院院管课题(SWH2016YSCXYB-04)~~
【CateGory Index】: R656
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