Natural orifice transluminal endoscopic surgery:The transvaginal route moving forward from cholecystectomy  

作　　者：Eduardo M Targarona Edgar Mauricio Maldonado Jose Antonio Marzol Franco Marinello 

机构地区：[1]Department of Surgery,Hospital Santpau,Autonomous University of Barcelona

出　　处：《World Journal of Gastrointestinal Surgery》2010年第6期179-186,共8页世界胃肠外科杂志（英文版）（电子版）

摘　　要：The advent of minimally invasive surgery and the advances in endoluminal flexible endoscopy have converged to generate a new concept in digestive surgery,whose acronym natural orifice transluminal endoscopic surgery(NOTES),has become a familiar term in the surgical community.NOTES has been performed through the mouth,the bladder,the rectum and the vagina.Of these four approaches,the vagina has gained most popularity for several reasons.It is not only readily accessible and easy to decontaminate but it also provides safe entry and simple closure.The transvaginal approach has been described in the experimental and the clinical setting as an option for cholecystectomy,nephrectomy,splenectomy,segmental gastrectomy,retroperitoneal exploration and bariatric surgery.However,larger series are needed to delineate the exact risks of this approach,and to transcend cultural barriers that impede its wider introduction.Prospective randomized trials will shed light on the definitive role of the vaginal approach in minimal invasive surgery of the future.The advent of minimally invasive surgery and the advances in endoluminal flexible endoscopy have converged to generate a new concept in digestive surgery, whose acronym natural orifice transluminal endoscopic surgery (NOTES), has become a familiar term in the surgical community. NOTES has been performed through the mouth, the bladder, the rectum and the vagina. Of these four approaches, the vagina has gained most popularity for several reasons. It is not only readily accessible and easy to decontaminate but it also provides safe entry and simple closure. The transvaginal approach has been described in the experimental and the clinical setting as an option for cholecystectomy, nephrectomy, splenectomy, segmental gastrectomy, retroperitoneal exploration and bariatric surgery. However, larger series are needed to delineate the exact risks of this approach, and to transcend cultural barriers that impede its wider introduction. Prospective randomized trials will shed light on the definitive role of the vaginal approach in minimal invasive surgery of the future.

关 键 词：TRANSVAGINAL approach CHOLECYSTECTOMY NEPHRECTOMY Splenectomy Segmental gastrectomy Retroperitoneal exploration Natural orifice TRANSLUMINAL endoscopic SURGERY BARIATRIC SURGERY 

分 类 号：R657.4[医药卫生—外科学]