阴道自然腔道内镜手术子宫切除术剖析：拓展微创妇科外科医生的工具库
Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy Deconstructed: Expanding Minimally Invasive Gynecologic Surgeons' Toolbox.
作者信息
Lerner Veronica, Stuart Andrea E, Baekalandt Jan
机构信息
Department of Obstetrics & Gynecology, Lenox Hill Hospital, Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, New York, USA.
Department of Obstetrics and Gynaecology, Institution of Clinical Sciences, Lund University, Lund, Sweden.
出版信息
J Gynecol Surg. 2024 Apr 1;40(2):78-99. doi: 10.1089/gyn.2023.0098. Epub 2024 Apr 12.
BACKGROUND
The introduction of vaginal natural orifice transluminal endoscopic surgery (vNOTES) to the toolbox of gynecologic surgeons has the potential to reverse the trend of vaginal hysterectomy declines.
METHODS
This review discusses nuances of the vNOTES technique applied to hysterectomy; describes vNOTES hysterectomy, step-by-step (including tips and tricks for low- and high-complexity cases for surgeons who may want to incorporate vNOTES hysterectomy into their surgical repertoires); and examines evidence and research trends in this field.
RESULTS
The descriptions in the text, figures, tables, and videos all contribute to giving readers a clear understanding of vNOTES, its advantages, limitations, and research potentials.
CONCLUSIONS
vNOTES hysterectomy is a unique blend of vaginal, laparoscopic, and laparoendoscopic single-site surgery (LESS) techniques and is not a new procedure, but rather another tool to use in minimally invasive gynecologic surgery. (J GYNECOL SURG 40:78).
背景
将经阴道自然腔道内镜手术（vNOTES）引入妇科外科医生的工具库，有可能扭转阴道子宫切除术下降的趋势。
方法
本综述讨论了应用于子宫切除术的vNOTES技术的细微差别；逐步描述了vNOTES子宫切除术（包括对于可能希望将vNOTES子宫切除术纳入其手术技能的外科医生，针对低复杂性和高复杂性病例的技巧和窍门）；并研究了该领域的证据和研究趋势。
结果
文本、图表、表格和视频中的描述都有助于读者清楚地了解vNOTES、其优点、局限性和研究潜力。
结论
vNOTES子宫切除术是阴道、腹腔镜和单孔腹腔镜手术（LESS）技术的独特融合，它不是一种新手术，而是微创妇科手术中可使用的另一种工具。（《妇科手术杂志》40:78）
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