经阴道自然腔道内镜手术（NOTES）行子宫切除术：一种创新方法的可行性。
Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (NOTES): feasibility of an innovative approach.
机构信息
Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Chang Gung University School of Medicine, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2012 Jun;51(2):217-21. doi: 10.1016/j.tjog.2012.04.009.
OBJECTIVE
To evaluate the feasibility and safety of performing a hysterectomy using the transvaginal natural orifice transluminal endoscopic surgery (NOTES).
MATERIALS AND METHODS
From May through December 2010, 16 patients with benign uterine diseases who were eligible for laparoscopic hysterectomy were recruited to undergo transvaginal NOTES at a tertiary referral medical center. Intraoperative and postoperative surgical outcomes were measured.
RESULTS
All of the included hysterectomies were completed via transvaginal NOTES without conversion to conventional laparoscopy. The mean (± standard error of mean (SEM)) uterine weight was 538.8±102.9 g, the mean operative time was 122.7±17.6 minutes, and the mean blood loss was 379.4±95.4 mL. The mean postoperative hospital stay was 2.8±0.2 days. No intraoperative or postoperative complications were noted in this series.
CONCLUSION
Hysterectomy for the treatment of benign diseases can be feasibly carried out via transvaginal NOTES. However, prospective studies are needed to determine its full clinical applications.
目的
评估经阴道自然腔道内镜手术（NOTES）进行子宫切除术的可行性和安全性。
材料与方法
2010 年 5 月至 12 月，在一家三级转诊医疗中心，我们招募了 16 名符合腹腔镜子宫切除术条件的良性子宫疾病患者，进行经阴道 NOTES。测量术中及术后手术结果。
结果
所有纳入的子宫切除术均通过经阴道 NOTES 完成，无需转为传统腹腔镜。子宫重量的平均值（±均数标准误（SEM））为 538.8±102.9 g，手术时间的平均值为 122.7±17.6 分钟，出血量的平均值为 379.4±95.4 mL。术后平均住院时间为 2.8±0.2 天。本系列研究中未出现术中或术后并发症。
结论
经阴道 NOTES 可安全有效地治疗良性疾病。然而，需要前瞻性研究来确定其在临床上的全面应用。
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