在肥胖患者的妇科手术中vNOTES的可行性和安全性
Yannick Hurni1, Colin Simonson1, Marcello Di Serio1
1Department of Gynecology and Obstetrics, Valais Hospital, Av. du Grand-Champsec 80, Sion 1951, Switzerland.
经阴道自然孔透光内镜手术 (vNOTES) 是可行的和安全的,用于肥胖患者的妇科疾病. 虽然通常是成功的,但更高的肥胖类可能需要更复杂的程序.
科学领域:
- 最少侵入性的妇科手术
- 腹部外科手术的结果
- 手术创新 在外科创新.
背景情况:
- 肥胖在妇科手术中带来了独特的挑战.
- 经阴道自然孔透光内镜手术 (vNOTES) 提供了一种最少的侵入性方法.
- 评估vNOTES在肥胖患者中的可行性和安全性至关重要.
研究的目的:
- 评估vNOTES在肥胖患者良性和恶性妇科疾病的可行性和安全性.
- 分析不同类型肥胖症 (I,II和III) 的手术结果.
- 为了确定与腹患者群体中vNOTES相关的潜在挑战.
主要方法:
- 79名肥胖患者 (BMI>30Kg/m2) 的回顾性分析.
- 在2020年5月至2023年4月期间执行的程序.
- 根据肥胖类别,手术类型,转化率和并发症评估结果.
主要成果:
- 在子宫切除手术中,vNOTES的可行性为65.8%,在附带手术中为32.9%.
- 根据肥胖类别的转化率有所不同:0% (I类),11.1% (II类),7.7% (III类).
- 观察到低率的手术内和术后并发症,包括伤口感染和囊炎.
结论:
- 妇科手术在肥胖患者中是可行的和安全的.
- 肥胖,特别是II和III类,可能与更长,更复杂的手术有关.
- 对于需要妇科干预的肥胖女性来说,vNOTES 是一种可行的手术选择.
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