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自然腔道手术(NOS)——朝向经阴道单孔入路的腹腔内手术。

Natural orifice surgery (NOS)--toward a single-port transdouglas approach for intra-abdominal procedures.

机构信息

The New European Surgical Academy (NESA), Berlin, Germany.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2010 Feb;148(2):114-7. doi: 10.1016/j.ejogrb.2009.10.015. Epub 2009 Nov 18.

DOI:10.1016/j.ejogrb.2009.10.015
PMID:19926205
Abstract

OBJECTIVE

To describe a future method for abdominal surgical procedures in women using a single-port Transdouglas Endoscopic Device (TED).

METHODS AND DESCRIPTION

The first successful laparotomy was performed in the 19th century, and the first endoscopic operation in the 20th century. The 21st century started with experimental operations using the natural body openings. Various abdominal procedures have already been performed through the stomach, but it seems that the transdouglas pathway in women is the most promising access into the peritoneal cavity, for its safety and cost-effectiveness. The TED is designed to perform operations in the upper and the lower abdomen. The New European Surgical Academy (NESA) founded the first European based interdisciplinary working group in order to plan and design instruments toward future gynaecological, urological and surgical applications.

CONCLUSION

The single-port TED is expected to replace many of today's endoscopic procedures due to its probably higher safety and better ergonomics.

摘要

目的

描述一种使用单孔经阴道内镜手术装置(TED)进行女性腹部外科手术的未来方法。

方法和描述

19 世纪首次进行了剖腹手术,20 世纪首次进行了内镜手术。21 世纪伊始,人们开始尝试利用自然体腔开口进行实验性手术。虽然已经通过胃部进行了各种腹部手术,但女性经阴道途径似乎是进入腹膜腔最有前途的方法,因为它具有安全性和成本效益。TED 旨在在上腹部和下腹部进行手术。新欧洲外科学院(NESA)成立了第一个基于欧洲的跨学科工作组,旨在规划和设计未来用于妇科、泌尿科和外科的器械。

结论

由于单孔 TED 可能具有更高的安全性和更好的人体工程学,因此有望取代目前许多内镜手术。

相似文献

1
Natural orifice surgery (NOS)--toward a single-port transdouglas approach for intra-abdominal procedures.自然腔道手术(NOS)——朝向经阴道单孔入路的腹腔内手术。
Eur J Obstet Gynecol Reprod Biol. 2010 Feb;148(2):114-7. doi: 10.1016/j.ejogrb.2009.10.015. Epub 2009 Nov 18.
2
Natural Orifice Surgery: Transdouglas surgery--a new concept.自然腔道手术:经Douglas腔手术——一个新概念。
JSLS. 2008 Jul-Sep;12(3):295-8.
3
[The natural orifice surgery concept. Vision and rationale for a paradigm shift].[自然腔道手术概念。范式转变的愿景与基本原理]
Chirurg. 2007 Jun;78(6):537-42. doi: 10.1007/s00104-007-1346-0.
4
Novel technologies for natural orifice surgery: an overview.自然腔道手术的新技术:综述
Minim Invasive Ther Allied Technol. 2008;17(6):346-54. doi: 10.1080/13645700802528264.
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A primer on natural orifice transluminal endoscopic surgery: building a new paradigm.自然腔道内镜手术入门:构建一种新范式。
Surg Innov. 2006 Jun;13(2):86-93. doi: 10.1177/1553350606290529.
6
Re: JSLS(2008)12:295-298 Natural orifice surgery: Transdouglas surgery-a new concept.回复:《腹腔镜外科杂志》(2008年)第12卷:295 - 298页 自然腔道手术:经Douglas腔手术——一个新概念
JSLS. 2009 Jan-Mar;13(1):121-2.
7
Self-approximating transluminal access technique for natural orifice transluminal endoscopic surgery: a porcine survival study (with video).用于自然腔道内镜手术的自近似腔内入路技术:一项猪存活研究(附视频)
Gastrointest Endosc. 2008 Apr;67(4):690-7. doi: 10.1016/j.gie.2007.09.023. Epub 2008 Feb 14.
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Natural orifice translumenal endoscopic surgery (N.O.T.E.S).
Int J Surg. 2009 Jun;7(3):232-6. doi: 10.1016/j.ijsu.2009.04.001. Epub 2009 Apr 14.
9
Instruments for transluminal laparoscopic surgery or "NOTES".经腔腹腔镜手术器械或“NOTES”(自然腔道内镜手术)。
Minim Invasive Ther Allied Technol. 2008;17(6):331-5. doi: 10.1080/13645700802528041.
10
[Natural orifice trans-luminal endoscopic surgery (notes)--a new era in general surgery].
Harefuah. 2008 Oct;147(10):792-6, 837-8.

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