经阴道自然腔道内镜手术在妇科手术中的应用及技巧总结
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摘要
<正>经自然腔道内镜手术(natural orifice translu-minalendoscopic surgery,NOTES)于1998年由Moran提出,是指运用人体的自然孔道,如口腔、肛门、阴道或尿道和内脏的穿孔等作为内镜进入腹腔的外科通道,到达目标组织操作的手术方式[1]。此处有两个概念:"混合"NOTES,即腔镜手术入路结合了经自然腔道及经腹(或经脐)的入路,而"纯"NOTES手术入路仅涉及经自然腔道[2-3],本文主要针对后
引文
[1] 孙大为.妇科单孔腹腔镜手术学 [M].北京:北京大学医学出版社,2015:11.
[2] Reynders A, Baekelandt J.Adnexectomy by poor man's transvaginal NOTES [J].Gynecol Surg, 2015, 12(3): 207–211.
[3] Lee CL, WU Kai-yun, Su H, et al.Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES): A series of 137 patients [J].J Minim Invasive Gynecol, 2014, 21(5): 818-824.
[4] Lee CL, WU K-y, SU H, et al.Natural orifice transluminal endoscopic surgery in gynecology [J].Gynecol Minimal Invasive Ther, 2012, 1(1): 23–26.
[5] XU Bo-qun, LIU Ya-wen, YING Xiao-yan, et al.Transvaginal endoscopic surgery for tubal ectopic pregnancy [J].JSLS, 2014, 18(1): 76-82.
[6] Sarah VP, Jan B.Natural orifice transluminal endoscopic surgery (NOTES) salpingectomy for ectopic pregnancy: a first series demonstrating how a new surgical technique can be applied in a low-resource setting [J].GynecolSurg, 2015, 12(4): 299-302.
[7] Baekelandt J, Vercammen J.IMELDA transvaginal approach to ectopic pregnancy:diagnosis by transvaginal hydrolaparoscopy and treatment by transvaginal natural orifice transluminal endoscopic surgery [J/OL].FertilSteril, 2017, 107(1): e 1-e 2.
[8] Chen X, Liu HY, Sun DW,et al.Transvaginal natural orifice transluminal endoscopic surgery for tubal pregnancy and a device innovation from our Institution[J/OL].J Minim Invasive Gynecol,2018,May 23.pii: S1553-4650(18)30267-X.[Epub ahead of print]
[9] Ahn KH, Jy S, Kim SH, et al.Transvaginal single port natural orifice transluminal endoscopic surgery for benign uterine adnexal pathologies [J].J Minim Invasive Gynecol, 2012, 19(5): 631-635.
[10] Lee CL, WU Kai-yun, Su H, et al.Transvaginal natural-orifice transluminal endoscopic surgery (NOTES) in adnexal procedures [J].J Minim Invasive Gynecol, 2012, 19(4): 509-513.
[11] Yang YS, Hur MH, Oh KY, et al.Transvaginal natural orifice transluminal endoscopic surgery for adnexal masses [J].Journal of Obstetrics and Gynaecology Research, 2013, 39(12): 1604-1609.
[12] Baekelandt J.Poor man's NOTES:can it be a good approach for adhesiolysis?a first case report with video demonstration[J].J Minim Invasive Gynecol, 2015, 22(3): 319.
[13] Baekelandt JF, De Mulder PA, Le Roy I, et al.Transvaginal natural orifice transluminal endoscopic surgery(vNOTES)adnexectomy for benign pathology compared with laparoscopic excision(NOTABLE):a protocol for a randomised controlled trial[J/OL].BMJ Open, 2018, 8(1): e018059.
[14] Baekelandt J.Transvaginal natural orifice transluminal endoscopic surgery:a new approach to ovarian cystectomy[J].Fertil Steril, 2018, 109(2): 366.
[15] Li YC, KU Fei-chun, Kuo HH, et al.Transvaginal endoscopic surgery-assisted versus conventional laparoscopic adnexectomy (TVEA vs.CLA): A propensity-matched study and literature review [J].Taiwan J ObstetGynecol, 2017, 56(3): 336-341.
[16] Jallad K, Siff L, Thomas T, et al.Salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery [J].Obstet Gynecol, 2016, 128(2): 293-295.
[17] 朱一萍,赵栋,隋孟松,等.经阴道自然腔道内镜卵巢囊肿剥除术十例临床分析 [J/CD].中华腔镜外科杂志(电子版),2018,11(1):24-27.
[18] LIU Juan, Bardawil E, LIN Qiong-yan, et al.Transvaginal natural orifice transluminal endoscopic surgery tubal reanastomosis: a novel route for tubal surgery [J].FertilSteril, 2018, 110(1): 182.
[19] GUAN Xiao-ming, Bardawil E, LIU Juan, et al.Transvaginal natural orifice transluminal endoscopic surgery as a rescue for total vaginal hysterectomy [J/OL].J Minim Invasive Gynecol, 2018, 25(7): 1135-1136.
[20] Lee CL, HUANG C-y, WU K-y, et al.Natural orifice transvaginal endoscopic surgery myomectomy:An innovative approach to myomectomy [J].Gynecol Minimal Invasive Ther, 2014, 3(4): 127-130.
[21] Baekelandt J.Transvaginal natural-orifice transluminal endoscopic surgery: a new approach to myomectomy [J].Fertil Steril, 2018, 109(1): 179.
[22] LIU Juan, LIN Qiong-yan, Blazek K, et al.Transvaginal natural orifice transluminal endoscopic surgery myomectomy: a novel route for uterine myoma removal[J/OL].J Minim Invasive Gynecol, 2018, 25(6): 959-960.
[23] Su H, Yen CF, WU Kai-yun, et al.Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (NOTES): Feasibility of an innovative approach [J].Taiwan J Obstet Gynecol, 2012, 51(2): 217-221.
[24] Jallad K, Walters MD.Natural orifice transluminal endoscopic surgery (NOTES) in gynecology [J].Clin Obstet Gynecol, 2017, 60(2): 324-329.
[25] SU H, HUANG L, HAN C-m, et al.Natural orifice transluminal endoscopic surgery(NOTES)subtotal hysterectomy:A feasibility study [J].Taiwan J Obstet Gynecol, 2018, 57(3): 355-359.
[26] Lee CL, WU Kai-yun, Su H, et al.Robot-assisted natural orifice transluminal endoscopic surgery for hysterectomy [J].Taiwan J Obstet Gynecol, 2015, 54(6): 761-765.
[27] Wang CJ, HUANG Hui-yu, HUANG Chen-ying, et al.Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri [J].Surgical Endoscopy And Other Interventional Techniques, 2015, 29(1): 100-107.
[28] Baekelandt J.Total vaginal NOTES hysterectomy: a new approach to hysterectomy[J].J Minim Invasive Gynecol, 2015, 22(6): 1088-1094.
[29] Baekelandt J, De Mulder PA, Le Roy I, et al.HALON - hysterectomy by transabdominal laparoscopy or natural orifice transluminal endoscopic surgery: a randomised controlled trial (study protocol) [J/OL].BMJ Open, 2016, 6(8): e018059.
[30] DING D-c, CHU T-y, HONG M-k.Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery:An initial experience at Tzu Chi General Hospital[J].Ci Ji Yi XueZaZhi, 2017, 29(4): 208-212.
[31] Kale A,Sarlibrahim B,Basol G.Hysterectomy and salphingoopherectomy by transvaginal natural orifice transluminal endoscopic surgery(NOTES): Turkish surgeons' initial experience [J].Int J Surg,2017,47:62-68.
[32] 张俊吉,戴毅,孙大为.经阴道自然腔道内镜手术(NOTES)全子宫切除12例:可行性和安全性分析[J].中华腔镜外科杂志(电子版),2018,11(3):153-156.
[33] Lee CL, WU K-y, Tsao FY, et al.Natural orifice transvaginal endoscopic surgery for endometrial cancer[J].Gynecol Minimal Invasive Ther, 2014, 3(3): 89-92.
[34] Leblanc E, Narducci F, Bresson L, et al.Fluorescence-assisted sentinel (SND) and pelvic node dissections by single-port transvaginal laparoscopic surgery, for the management of an endometrial carcinoma (EC) in an elderly obese patient[J].GynecolOncol, 2016, 143(3): 686-687.
[35] CHEN Yi-song, LI Jun-wei, ZHANG Ying, et al.Transvaginal single-port laparoscopy sacrocolpopexy[J].J Minim Invasive Gynecol, 2018, 25(4): 585-588.
[36] Hackethal A, Ionesi-Pasacica J, Eskef K, et al.Transvaginal NOTES with semi-rigid and rigid endoscopes that allow adjustable viewing angles[J].Arch GynecolObstet, 2011, 283(1): 131-132.
[37] Atallah S, Hodges A, Larach SW.Direct target NOTES: prospective applications for next Generation robotic platforms [J].Tech Coloproctol, 2018, 22(5): 363-371.
[38] 刘亚萍,王东,李兆申.新经自然腔道内镜手术感染控制的研究进展 [J].中华消化内镜杂志,2018,35(3):221-224.
[39] Tolcher MC, Kalogera E, Hopkins MR, et al.Safety of culdotomy as a surgical approach: implications for natural orifice transluminal endoscopic surgery [J].JSLS, 2013, 16(3): 413-420.
[40] 中国医师协会妇产科学分会妇科单孔腹腔镜手术.(包括NOTES)专家技术协作组.中国大陆妇科单孔腹腔镜及NOTES 手术的探索发展及现状 [J/CD].中华腔镜外科杂志(电子版),2018,11(1):1-3.
[41] Baekelandt J, De Mulder PA, Le Roy I, et al.Postoperative outcomes and quality of life following hysterectomy by natural orifice transluminal endoscopic surgery (NOTES) compared to laparoscopy in women with a non-prolapsed uterus and benign gynaecological disease: a systematic review and meta-analysis [R].Eur J Obstet Gynecol Reprod Biol,2017,208:6-15.
[2] Reynders A, Baekelandt J.Adnexectomy by poor man's transvaginal NOTES [J].Gynecol Surg, 2015, 12(3): 207–211.
[3] Lee CL, WU Kai-yun, Su H, et al.Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES): A series of 137 patients [J].J Minim Invasive Gynecol, 2014, 21(5): 818-824.
[4] Lee CL, WU K-y, SU H, et al.Natural orifice transluminal endoscopic surgery in gynecology [J].Gynecol Minimal Invasive Ther, 2012, 1(1): 23–26.
[5] XU Bo-qun, LIU Ya-wen, YING Xiao-yan, et al.Transvaginal endoscopic surgery for tubal ectopic pregnancy [J].JSLS, 2014, 18(1): 76-82.
[6] Sarah VP, Jan B.Natural orifice transluminal endoscopic surgery (NOTES) salpingectomy for ectopic pregnancy: a first series demonstrating how a new surgical technique can be applied in a low-resource setting [J].GynecolSurg, 2015, 12(4): 299-302.
[7] Baekelandt J, Vercammen J.IMELDA transvaginal approach to ectopic pregnancy:diagnosis by transvaginal hydrolaparoscopy and treatment by transvaginal natural orifice transluminal endoscopic surgery [J/OL].FertilSteril, 2017, 107(1): e 1-e 2.
[8] Chen X, Liu HY, Sun DW,et al.Transvaginal natural orifice transluminal endoscopic surgery for tubal pregnancy and a device innovation from our Institution[J/OL].J Minim Invasive Gynecol,2018,May 23.pii: S1553-4650(18)30267-X.[Epub ahead of print]
[9] Ahn KH, Jy S, Kim SH, et al.Transvaginal single port natural orifice transluminal endoscopic surgery for benign uterine adnexal pathologies [J].J Minim Invasive Gynecol, 2012, 19(5): 631-635.
[10] Lee CL, WU Kai-yun, Su H, et al.Transvaginal natural-orifice transluminal endoscopic surgery (NOTES) in adnexal procedures [J].J Minim Invasive Gynecol, 2012, 19(4): 509-513.
[11] Yang YS, Hur MH, Oh KY, et al.Transvaginal natural orifice transluminal endoscopic surgery for adnexal masses [J].Journal of Obstetrics and Gynaecology Research, 2013, 39(12): 1604-1609.
[12] Baekelandt J.Poor man's NOTES:can it be a good approach for adhesiolysis?a first case report with video demonstration[J].J Minim Invasive Gynecol, 2015, 22(3): 319.
[13] Baekelandt JF, De Mulder PA, Le Roy I, et al.Transvaginal natural orifice transluminal endoscopic surgery(vNOTES)adnexectomy for benign pathology compared with laparoscopic excision(NOTABLE):a protocol for a randomised controlled trial[J/OL].BMJ Open, 2018, 8(1): e018059.
[14] Baekelandt J.Transvaginal natural orifice transluminal endoscopic surgery:a new approach to ovarian cystectomy[J].Fertil Steril, 2018, 109(2): 366.
[15] Li YC, KU Fei-chun, Kuo HH, et al.Transvaginal endoscopic surgery-assisted versus conventional laparoscopic adnexectomy (TVEA vs.CLA): A propensity-matched study and literature review [J].Taiwan J ObstetGynecol, 2017, 56(3): 336-341.
[16] Jallad K, Siff L, Thomas T, et al.Salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery [J].Obstet Gynecol, 2016, 128(2): 293-295.
[17] 朱一萍,赵栋,隋孟松,等.经阴道自然腔道内镜卵巢囊肿剥除术十例临床分析 [J/CD].中华腔镜外科杂志(电子版),2018,11(1):24-27.
[18] LIU Juan, Bardawil E, LIN Qiong-yan, et al.Transvaginal natural orifice transluminal endoscopic surgery tubal reanastomosis: a novel route for tubal surgery [J].FertilSteril, 2018, 110(1): 182.
[19] GUAN Xiao-ming, Bardawil E, LIU Juan, et al.Transvaginal natural orifice transluminal endoscopic surgery as a rescue for total vaginal hysterectomy [J/OL].J Minim Invasive Gynecol, 2018, 25(7): 1135-1136.
[20] Lee CL, HUANG C-y, WU K-y, et al.Natural orifice transvaginal endoscopic surgery myomectomy:An innovative approach to myomectomy [J].Gynecol Minimal Invasive Ther, 2014, 3(4): 127-130.
[21] Baekelandt J.Transvaginal natural-orifice transluminal endoscopic surgery: a new approach to myomectomy [J].Fertil Steril, 2018, 109(1): 179.
[22] LIU Juan, LIN Qiong-yan, Blazek K, et al.Transvaginal natural orifice transluminal endoscopic surgery myomectomy: a novel route for uterine myoma removal[J/OL].J Minim Invasive Gynecol, 2018, 25(6): 959-960.
[23] Su H, Yen CF, WU Kai-yun, et al.Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (NOTES): Feasibility of an innovative approach [J].Taiwan J Obstet Gynecol, 2012, 51(2): 217-221.
[24] Jallad K, Walters MD.Natural orifice transluminal endoscopic surgery (NOTES) in gynecology [J].Clin Obstet Gynecol, 2017, 60(2): 324-329.
[25] SU H, HUANG L, HAN C-m, et al.Natural orifice transluminal endoscopic surgery(NOTES)subtotal hysterectomy:A feasibility study [J].Taiwan J Obstet Gynecol, 2018, 57(3): 355-359.
[26] Lee CL, WU Kai-yun, Su H, et al.Robot-assisted natural orifice transluminal endoscopic surgery for hysterectomy [J].Taiwan J Obstet Gynecol, 2015, 54(6): 761-765.
[27] Wang CJ, HUANG Hui-yu, HUANG Chen-ying, et al.Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri [J].Surgical Endoscopy And Other Interventional Techniques, 2015, 29(1): 100-107.
[28] Baekelandt J.Total vaginal NOTES hysterectomy: a new approach to hysterectomy[J].J Minim Invasive Gynecol, 2015, 22(6): 1088-1094.
[29] Baekelandt J, De Mulder PA, Le Roy I, et al.HALON - hysterectomy by transabdominal laparoscopy or natural orifice transluminal endoscopic surgery: a randomised controlled trial (study protocol) [J/OL].BMJ Open, 2016, 6(8): e018059.
[30] DING D-c, CHU T-y, HONG M-k.Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery:An initial experience at Tzu Chi General Hospital[J].Ci Ji Yi XueZaZhi, 2017, 29(4): 208-212.
[31] Kale A,Sarlibrahim B,Basol G.Hysterectomy and salphingoopherectomy by transvaginal natural orifice transluminal endoscopic surgery(NOTES): Turkish surgeons' initial experience [J].Int J Surg,2017,47:62-68.
[32] 张俊吉,戴毅,孙大为.经阴道自然腔道内镜手术(NOTES)全子宫切除12例:可行性和安全性分析[J].中华腔镜外科杂志(电子版),2018,11(3):153-156.
[33] Lee CL, WU K-y, Tsao FY, et al.Natural orifice transvaginal endoscopic surgery for endometrial cancer[J].Gynecol Minimal Invasive Ther, 2014, 3(3): 89-92.
[34] Leblanc E, Narducci F, Bresson L, et al.Fluorescence-assisted sentinel (SND) and pelvic node dissections by single-port transvaginal laparoscopic surgery, for the management of an endometrial carcinoma (EC) in an elderly obese patient[J].GynecolOncol, 2016, 143(3): 686-687.
[35] CHEN Yi-song, LI Jun-wei, ZHANG Ying, et al.Transvaginal single-port laparoscopy sacrocolpopexy[J].J Minim Invasive Gynecol, 2018, 25(4): 585-588.
[36] Hackethal A, Ionesi-Pasacica J, Eskef K, et al.Transvaginal NOTES with semi-rigid and rigid endoscopes that allow adjustable viewing angles[J].Arch GynecolObstet, 2011, 283(1): 131-132.
[37] Atallah S, Hodges A, Larach SW.Direct target NOTES: prospective applications for next Generation robotic platforms [J].Tech Coloproctol, 2018, 22(5): 363-371.
[38] 刘亚萍,王东,李兆申.新经自然腔道内镜手术感染控制的研究进展 [J].中华消化内镜杂志,2018,35(3):221-224.
[39] Tolcher MC, Kalogera E, Hopkins MR, et al.Safety of culdotomy as a surgical approach: implications for natural orifice transluminal endoscopic surgery [J].JSLS, 2013, 16(3): 413-420.
[40] 中国医师协会妇产科学分会妇科单孔腹腔镜手术.(包括NOTES)专家技术协作组.中国大陆妇科单孔腹腔镜及NOTES 手术的探索发展及现状 [J/CD].中华腔镜外科杂志(电子版),2018,11(1):1-3.
[41] Baekelandt J, De Mulder PA, Le Roy I, et al.Postoperative outcomes and quality of life following hysterectomy by natural orifice transluminal endoscopic surgery (NOTES) compared to laparoscopy in women with a non-prolapsed uterus and benign gynaecological disease: a systematic review and meta-analysis [R].Eur J Obstet Gynecol Reprod Biol,2017,208:6-15.