Mei Youwen, He Li, Zhang Qiang, Chen Ying, Zheng Jiafeng, Xiao Xinyu, Lin Yonghong
Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Front Med (Lausanne). 2023 Mar 2;10:1117158. doi: 10.3389/fmed.2023.1117158. eCollection 2023.
To describe the surgical technique and compare the operative outcomes of gasless and traditional robot-assisted transvaginal natural orifice transluminal endoscopic surgery (GR-vNOTES vs. TR-vNOTES) in hysterectomy.
The patients undergoing hysterectomy GR-vNOTES or TR-vNOTES between February 2020 and January 2022 in our hospital were included. Clinical data regarding patient demographics, operative time, blood loss, complications, and postoperative hospital stays were collected and analyzed.
Five cases underwent hysterectomy GR-vNOTES, and nine cases TR-vNOTES. The baseline demographics and operative outcomes were not significantly different in GR-vNOTES and TR-vNOTES groups. There was no conversion to multiport robotic laparoscopy, conventional laparoscopy or laparotomy. No complications were seen in both groups, except two cases had fever postoperatively in the TR-vNOTES group. For those with early stage cervical/endometrial cancer, no recurrence or metastasis was observed in the follow-up of six months.
Both GR-vNOTES and TR-vNOTES were feasible and safe for hysterectomy. GR-vNOTES was a promising alternative to TR-vNOTES in hysterectomy.
描述手术技术，并比较无气腹与传统机器人辅助经阴道自然腔道内镜手术（GR-vNOTES与TR-vNOTES）在子宫切除术中的手术效果。
纳入2020年2月至2022年1月期间在我院接受GR-vNOTES或TR-vNOTES子宫切除术的患者。收集并分析有关患者人口统计学、手术时间、失血量、并发症及术后住院时间的临床数据。
5例行GR-vNOTES子宫切除术，9例行TR-vNOTES子宫切除术。GR-vNOTES组和TR-vNOTES组的基线人口统计学和手术效果无显著差异。未转为多端口机器人腹腔镜手术、传统腹腔镜手术或开腹手术。两组均未出现并发症，除TR-vNOTES组有2例术后发热。对于早期宫颈癌/子宫内膜癌患者，在6个月的随访中未观察到复发或转移。
GR-vNOTES和TR-vNOTES在子宫切除术中均可行且安全。GR-vNOTES在子宫切除术中是TR-vNOTES的一种有前景的替代方法。
