Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
J Minim Invasive Gynecol. 2012 Sep-Oct;19(5):631-5. doi: 10.1016/j.jmig.2012.04.001. Epub 2012 Jul 3.
Transvaginal natural orifice transluminal endoscopic surgery (NOTES) with pneumoperitoneum has been used in cholecystectomies, appendectomies, and nephrectomies, but transvaginal NOTES using a single port in gynecologic procedures has not been described despite gynecologist familiarity with the vaginal approach. We performed transvaginal single-port NOTES in 10 women with benign uterine adnexal disease: oophorectomy in 3 patients, salpingostomy and salpingectomy in 2 each, and ovarian cystectomy, paratubal cystectomy, and ovarian wedge resection in 1 each. The patients were discharged at 1 or 2 days postoperatively, and were satisfied, with minimal pain, no abdominal scar, and no complications at 2-month follow-up. We conclude that transvaginal single-port NOTES to treat benign uterine adnexal disease is a feasible and attractive option.
经阴道自然腔道内镜手术（NOTES）联合气腹已应用于胆囊切除术、阑尾切除术和肾切除术，但经阴道NOTES 联合单孔技术在妇科手术中的应用尚未见报道，尽管妇科医生对阴道入路较为熟悉。我们对 10 例患有良性附件疾病的女性患者实施了经阴道单孔 NOTES：3 例行卵巢切除术，2 例行输卵管造口术和输卵管切除术，1 例行卵巢囊肿切除术、副输卵管囊肿切除术和卵巢楔形切除术。患者术后 1 或 2 天出院，2 个月随访时均满意，疼痛轻微，腹部无瘢痕，无并发症。我们得出结论，经阴道单孔 NOTES 治疗良性附件疾病是一种可行且有吸引力的选择。
