Hurni Yannick, Romito Fabien, Huber Daniela
Department of Pediatrics, Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Department of Gynecology and Obstetrics, Valais Hospital, Sion, Switzerland.
Front Surg. 2022 Mar 16;9:833126. doi: 10.3389/fsurg.2022.833126. eCollection 2022.
Surgical staging is essential in the management of ovarian cancers. This staging has traditionally been performed by laparotomy, but minimally invasive techniques are increasingly employed. Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) is a promising technique in the field of gynecological oncology. We report 2 cases of vNOTES surgical staging for suspicious ovarian tumors. We operated on 2 patients aged of 81 and 62 years for low-grade serous ovarian carcinoma and ovarian cystadenofibroma, respectively. We performed surgical staging with a pure vNOTES technique for the first patient and used a hybrid approach for the second. No intraoperative or postoperative complications were observed. We suggest that vNOTES is a feasible and effective approach to surgically manage early-stage ovarian cancers.
手术分期对于卵巢癌的治疗至关重要。传统上,这种分期是通过剖腹手术进行的,但微创技术的应用越来越广泛。经阴道自然腔道内镜手术(vNOTES)是妇科肿瘤学领域一项很有前景的技术。我们报告了2例因可疑卵巢肿瘤而行vNOTES手术分期的病例。我们分别对1名81岁和1名62岁的患者进行了手术,前者患有低级别浆液性卵巢癌,后者患有卵巢囊腺纤维瘤。我们对第一名患者采用单纯vNOTES技术进行手术分期,对第二名患者采用了混合方法。未观察到术中或术后并发症。我们认为vNOTES是手术治疗早期卵巢癌的一种可行且有效的方法。