通过经阴道自然孔透光内镜手术 (vNOTES) 进行瘤手术分期的口腔切除术:一项初步研究
Yannick Hurni1, Daniela Huber1,2
1Department of Gynecology and Obstetrics, Valais Hospital, Sion, Switzerland.
Frontiers in surgery
|August 14, 2023
概括
经阴道自然孔透光内镜手术 (vNOTES) 是在妇科癌症分期中可行的. 这种最少的侵入性方法显示出治疗卵巢和子宫内膜恶性瘤的潜力.
科学领域:
- 妇科瘤学 妇科瘤学
- 最少侵入性的手术
- 手术创新 在外科创新.
背景情况:
- 卵巢切除术对于卵巢癌和高风险子宫内膜癌的手术分期至关重要.
- 经阴道自然孔透光内镜手术 (vNOTES) 为妇科手术提供了一种最少的侵入性方法.
- 对于复杂的骨盆外手术,如切除术,vNOTES的可行性需要进行研究.
研究的目的:
- 为了确定使用vNOTES进行卵巢切除术的可行性,用于在患有卵巢和高危子宫内膜癌症的患者中进行手术分期.
主要方法:
- 一项涉及18名患者的描述性研究,这些患者因可疑的副质或高风险子宫内膜癌而接受手术分期.
- 在2020年5月至2023年4月期间,在瑞士的一家非大学医院使用vNOTES进行了infracolic omentectomy.
- 相关的手术包括salpingo-oophorectomy,子宫切除和活检.
主要成果:
- 在所有18名患者中,vNOTES的脑膜切除术都成功进行,没有出现手术后的并发症.
- 切除术的中位数手术时间为9分钟.
- 观察到一个术后发烧病例 (Clavien-Dindo II级),可能是由于阴道袖口感染.
结论:
- vNOTES是一种可行的瘤分期方法,包括复杂的骨盆外手术,如内切除术.
- 这种技术显示出治疗妇科恶性瘤的潜力,例如卵巢和子宫内膜癌.
- 在广泛采用之前,需要进一步证实可行性,益处和长期结果.
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