Review of transvaginal natural orifice transluminal endoscopic surgery in gynecology

详细信息    查看全文

• 作者：Naoyuki Yoshiki ; ^{n.yoshiki.crm@tmd.ac.jp}
• 关键词：laparoendoscopic single-site surgery ; minimally invasive surgery ; natural orifice transluminal endoscopic surgery ; single-incision laparoscopic surgery
• 刊名：Gynecology and Minimally Invasive Therapy
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：6
• 期：1
• 页码：1-5
• 全文大小：214 K
• 卷排序：6

文摘

Recent technologic advances in endoscopic instrumentation and optics have allowed the development of a less invasive alternative to conventional laparoscopic surgery. During the past decade, natural orifice transluminal endoscopic surgery (NOTES) flourished in the field of general surgery, and it has emerged as a new concept of minimally invasive surgery. NOTES yields access to the abdominal cavity without any incisions on the abdominal wall (scarless surgery), and the natural orifices of the body surface, such as the mouth and the vagina, serve as the gateway to the peritoneal cavity. In gynecology, the vagina of a woman can be considered as an additional route for surgery. Recently, clinical application of transvaginal NOTES has broadened significantly in gynecology. Using transvaginal NOTES by applying the method of single-incision laparoscopic surgery via the vaginal route, not only adnexal surgery and hysterectomy, but also myomectomy and oncologic surgery could be performed safely and effectively in selected patients. In future, further studies should be conducted to evaluate the true clinical feasibility and safety of transvaginal NOTES.