Transvaginal NOTES-assisted laparoscopic nephrectomy
10.3760/cma.j.issn.1000-6702.2010.12.006
- VernacularTitle:经阴道NOTES辅助腹腔镜下肾切除术
- Author:
Xiaofeng ZOU
;
Guoxi ZHANG
;
Rihai XIAO
;
Yuanhu YUAN
;
Dazhi LONG
;
Yuting WU
;
Gengqing WU
;
Xiaoning WANG
;
Jun YANG
;
Min LIU
;
Hui XU
;
Folin LIU
;
Yijun XUE
;
Bo JIANG
;
Xin ZHONG
;
Xu ZHANG
- Publication Type:Journal Article
- Keywords:
Natural orifice transluminal endoscopic surgery;
Transvaginal surgery;
Nephrectomy
- From:
Chinese Journal of Urology
2010;31(12):810-813
- CountryChina
- Language:Chinese
-
Abstract:
Objective To describe the initial clinical experience of transvaginal NOTES-assisted laparoscopic nephrectomy. Methods From May to June 2010, 4 female patients with non-functioning kidney and 1 female patient with renal tuberculosis underwent transvaginal NOTES-assisted laparoscopic nephrectomy. The median age was 41 years (range 36 to 63). Three lesions were on the right side, and 2 on the left. After induction of general anesthesia, the patients were positioned in lithotomy with ipsilateral lumbar at 60° angle to the operating table. A 5 mm Trocar and a 10 mm Trocar were placed through the umbilicus, and a 10 mm Trocar for 30° laparoscope was placed through the posterior vaginal fornix under direct vision. The kidneys were put into a home-made bag and removed via the incision of posterior vaginal fornix after there were completely resected. Results The 5 procedures were successfully finished. The median operative time was 190 (range 150 to 260)min. The median estimated blood loss was 185 (range 150 to 210) ml. There were no intra-operative or postoperative complications. The patients resumed ambulation 1 day after surgery, and resumed nutrition 2 days after surgery. The drainages were removed on postoperactive day 3. The patients were discharged on postoperative day 7. The incision in vagina healed well. Conclusions Transvaginal NOTES-assisted laparoscopic nephrectomy is feasible and reproducible. This novel technique may provide additional benefits related to postoperative pain, recovery, and cosmetic results even when compared to today's minimally invasive procedures.
