トランスヴァギナル・ナチュラル・オーリフィス・トランスルミナル・エンドスコピック (vNOTES) 右側コレクトミーの安全性と有効性: 系統的レビュー
Georgia Dimopoulou1, Konstantinos Perivoliotis2, Evangelos Lolis3
1Department of Surgery, "Achillopouleion" General Hospital, 382 22 Volos, Greece.
Cancers
|August 28, 2025
まとめ
トランスヴァギナル・ナチュラル・オリフィス・トランスルミナル・エンドスコーピ (vNOTES) の右切除は安全性と有効性を示した. より大きな患者集団でこれらの発見を確認するには,さらなる高品質の試験が必要です.
科学分野:
- 侵襲 的 な 手術
- 胃腸 外科
- 外科 革新
背景:
- トランスヴァギナル・ナチュラル・オーリフィス・トランスルミナル・エンドスコーピック (vNOTES) 手術は新興技術である.
- vNOTESの右側コレクトミーの安全性と有効性に関するデータは限られている.
研究 の 目的:
- vNOTES右切除の安全性と有効性に関するデータを体系的に検討し,まとめる.
- 合併症の発生率,手術の持続時間,vNOTESの右側切除と関連した入院を評価する.
主な方法:
- コクラン・ハンドブックとPRISMAのガイドラインに従って 体系的なレビューを行う.
- データを分析するために6つの研究が含まれています.
- NHLBIの品質評価ツールによる品質評価
主要な成果:
- 全体的な罹病率は21. 9% (95%CI: 10. 7~33. 2%) であった.
- 手術中の有害事象は,症例の19. 9%で発生した.
- 平均手術期間は176. 42分,平均入院期間は8. 68日でした.
結論:
- vNOTESの右側切除術は 安全で効果的な手術方法であるようです
- 研究の限界により,より大規模で高品質な試験が求められます.
関連する概念動画
Inflammatory Bowel Disease V: Surgical Management
206
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
206
Esophageal Varices-II: Clinical Features and Management
135
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
135
Esophageal Varices-I: Introduction
332
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
332
Peptic Ulcer Disease V: Surgical Management and Nursing Care
406
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
406
Endoscopic Studies II: Thoracocentesis
495
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
495
Esophageal Strictures-II: Clinical Features and Management
156
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
156


