Pure Natural Orifice Translumenal Endoscopic Surgery (NOTES) Transvaginal Nephrectomy

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• 作者：Jihad H. Kaouk ; Georges-Pascal Haber ; Raj K. Goel ; Sebastien Crouzet ; Stacy Brethauer ; Farzeen Firoozi ; Howard B. Goldman ; Wesley M. White
• 关键词：Kidney ; Laparoscopy ; Minimally invasive surgery ; Natural orifice translumenal endoscopic surgery (NOTES) ; Single-port laparoscopy ; Transvaginal surgery
• 刊名：European Urology
• 出版年：2010
• 出版时间：April 2010
• 年：2010
• 卷：57
• 期：4
• 页码：723-726
• 全文大小：310 K

文摘

Natural orifice translumenal endoscopic surgery (NOTES) within urology has largely been limited to experimental animal studies and diagnostic procedures in humans. Attempts to complete a pure NOTES transvaginal nephrectomy have thus far been unsuccessful. We report the first clinical experience with pure NOTES transvaginal nephrectomy.

A 58-year-old woman presented with recurrent urinary tract infections and an atrophic right kidney. Transvaginal access was obtained through a 3-cm posterior colpotomy. The right kidney was mobilized, the renal hilum was divided, and the specimen was removed through the vaginal incision. Operative time was 420 min. Estimated blood loss was 50 ml. There were no perioperative complications.