Abstract:
Objective To investigate the improvements and feasibility associated with advances in natural orifice specimen extraction surgery (NOSES) for colorectal cancer under diagnosis related groups (DRGs).
Methods A retrospective analysis of 42 patients with modified laparoscopic colorectal cancer NOSES who underwent DRGs at Anyang Tumor Hospital from February 2019 to February 2021 was carried out. The results were compared with those of 238 patients who underwent routine laparoscopic colorectal cancer surgery at the same time in terms of cost, treatment outcome and complications.
Results The success rate of DRGs in the improved group was 95.2% (40/42) . There was no significant difference in DRGs cost and short-term complication rate between the two groups (P>0.05)
Conclusions The improved laparoscopic operation for the NOSES of colorectal cancer can meet the cost standard of DRGs, and the operation is safe and reliable. It is feasible to use double no. 7 silk thread instead of partial linear cutting closers.