Akladios Cherif, Faller Emilie, Afors Karolina, Puga Marco, Albornoz Jaime, Redondo Christina, Leroy Joel, Wattiez Arnaud
Department of Obstetrics and Gynecology, Strasbourg University Hospital, Strasbourg, France.
Department of Obstetrics and Gynecology, Strasbourg University Hospital, Strasbourg, France.
J Minim Invasive Gynecol. 2014 Nov-Dec;21(6):1095-102. doi: 10.1016/j.jmig.2014.05.003. Epub 2014 May 22.
The objective of this retrospective study was to evaluate the feasibility of natural orifice specimen extraction (NOSE) techniques in 41 patients undergoing bowel resection for treatment of deep infiltrating endometriosis. In all patients laparoscopic treatment of rectovaginal endometriosis with bowel resection had been performed. In 32 patients the classic approach was adopted (group 1), and in 9 a NOSE technique was performed (group 2). Demographic, operative, and postoperative data were compared. Statistical analyses were performed using SPSS software, version 16.0. When needed, qualitative variables were compared using the χ(2) test or the Fisher exact test. Quantitative variables using the t-test were used. The threshold of statistical significance was set at p = .05. No statistically significant difference was observed between the 2 groups. Eight complications (19.5%) were observed, 2 minor (4.8%) and 6 major (14.6%). Of major complications, 2 were observed in the NOSE group (n = 2; 22.2%). It was concluded that the NOSE technique is a feasible approach in patients undergoing bowel resection for treatment of deep infiltrating endometriosis.
这项回顾性研究的目的是评估41例因深部浸润性子宫内膜异位症接受肠切除术患者采用经自然腔道标本取出术（NOSE）技术的可行性。所有患者均接受了腹腔镜下直肠阴道子宫内膜异位症肠切除术治疗。32例患者采用经典术式（第1组），9例采用NOSE技术（第2组）。比较了两组患者的人口统计学、手术及术后数据。使用SPSS 16.0软件进行统计分析。必要时，定性变量采用χ(2)检验或Fisher精确检验进行比较。定量变量采用t检验。统计学显著性阈值设定为p = 0.05。两组之间未观察到统计学显著差异。共观察到8例并发症（19.5%），其中2例为轻度（4.8%），6例为重度（14.6%）。重度并发症中，NOSE组观察到2例（n = 2；22.2%）。研究得出结论，对于因深部浸润性子宫内膜异位症接受肠切除术的患者，NOSE技术是一种可行的方法。
