Consorcio Sanitario Publico del Aljarafe, Hospital San Juan de Dios, Bormujos (Sevilla), Spain.
Surg Endosc. 2012 Mar;26(3):877-81. doi: 10.1007/s00464-011-1919-3. Epub 2011 Sep 23.
Natural orifice translumenal endoscopic surgery (NOTES), although in its embryonic phase, is currently experiencing important developments. The technique has been successfully applied for cholecystectomies and appendectomies. However, several doubts exist as to the technical limitations and feasibility of NOTES in other clinical settings.
The authors have performed totally transvaginal colon resections in a sheep model. Although completion of the surgery was possible through the transvaginal route, the addition of a transumbilical laparoscope was used as an added safety measure.
Totally transvaginal resection of the sigmoid colon was performed for two sheep with no intra- or postoperative complications.
Totally transvaginal resection of the colon (pure NOTES) is feasible in a sheep model.
尽管自然腔道内镜外科（NOTES）仍处于起步阶段，但目前正在取得重要进展。该技术已成功应用于胆囊切除术和阑尾切除术。然而，对于NOTES 在其他临床环境中的技术局限性和可行性仍存在一些疑问。
作者在绵羊模型中进行了完全经阴道结肠切除术。尽管通过经阴道途径完成了手术，但添加经脐腹腔镜作为附加的安全措施。
对两只绵羊进行了完全经阴道乙状结肠切除术，无术中或术后并发症。
在绵羊模型中，完全经阴道结肠切除术（纯 NOTES）是可行的。
