Department of Digestive Surgery, Groeninge Hospital Kortrijk, Pres. Kennedylaan 4, 8500, Kortrijk, Belgium,
Tech Coloproctol. 2014 Jan;18(1):77-80. doi: 10.1007/s10151-013-1005-z. Epub 2013 Apr 6.
The amount of published experience using natural orifice transluminal endoscopic surgery (NOTES) is increasing. However, approximately half of the technical approaches described include NOTES as part of a hybrid procedure. Colonic resections performed using NOTES have mainly been described using a hybrid approach.
An 84-year-old female presented with a symptomatic volvulus of the sigmoid colon. Endoscopic detorsion and desufflation were successfully performed. Definitive treatment was accomplished by performing a sigmoid resection entirely via a transvaginal route using a single port device (SILS™ Covidien, Westbury, MA, USA).
Operative time was 135 min. No intraoperative or postoperative complications occurred. Only minimal narcotic analgesia was required and oral intake was initiated on postoperative day 3. At the last follow-up assessment, 2 months postoperatively, no complications or recurrent volvulus were observed.
Transvaginal NOTES sigmoid colectomy for sigmoid volvulus is feasible and can be performed safely.
使用自然腔道内镜手术（NOTES）的经验发表量正在增加。然而，所描述的技术方法中约有一半包括NOTES，作为混合手术的一部分。使用NOTES 进行的结肠切除术主要通过混合方法进行描述。
一名 84 岁女性因乙状结肠扭转出现症状。成功进行了内镜复位和放气。通过使用单端口设备（SILS™ Covidien，Westbury，MA，USA）完全经阴道途径进行乙状结肠切除术完成了明确治疗。
手术时间为 135 分钟。无术中或术后并发症。仅需要最小剂量的麻醉性镇痛药，术后第 3 天开始口服。在最后一次随访评估时，术后 2 个月，未观察到任何并发症或再次发生扭转。
经阴道 NOTES 乙状结肠切除术治疗乙状结肠扭转是可行的，并且可以安全地进行。
