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NOTES transvaginal cholecystectomy: preliminary clinical application

机译：NOTES经阴道胆囊切除术：初步临床应用

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摘要

Natural orifice translumenal endoscopic surgery (NOTES) is an emerging concept in the recent literature that could lead to potential benefits in clinical applications. Restricted to animal experiments, however, human procedures have not yet been published. Because of the technical and ethical challenges involved in perforation and closure of a healthy organ—as is also seen in operating via the transgastric route—and because of the lack of understanding of the physiopathology and infection risk with these approaches, they have not been applied in the clinical setting. Thus the present study, based on previous animal experiments, describes preliminary clinical application in four cases of transvaginal NOTES cholecystectomy, and discusses safety, feasibility, and potential benefits of the method.
机译：天然孔腔内镜手术（NOTES）是最近文献中的一个新兴概念，可能会在临床应用中带来潜在的好处。但是，仅限于动物实验，尚未公开人类程序。由于健康器官的穿孔和闭合所涉及的技术和伦理挑战（如通过经胃途径进行操作时所见），并且由于缺乏对这些方法的生理病理学和感染风险的了解，因此尚未应用在临床环境中。因此，本研究基于先前的动物实验，描述了在经阴道NOTES胆囊切除术的4例病例中的初步临床应用，并讨论了该方法的安全性，可行性和潜在益处。

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  • 来源
    《Surgical Endoscopy》 |2008年第2期|542-547|共6页
  • 作者

    R. Zorron; L. C. Maggioni; L. Pombo; A. L. Oliveira; G. L. Carvalho; M. Filgueiras;

  • 作者单位

    Department of Surgery University Hospital Teresopolis HCTCO-FESO Av. Américas 13554 BL.1 AP.207 Barra da Tijuca Rio de Janeiro Brazil;

    Department of Surgery University Hospital Teresopolis HCTCO-FESO Av. Américas 13554 BL.1 AP.207 Barra da Tijuca Rio de Janeiro Brazil;

    Department of Surgery Hospital Veterinário UENF Campos de Goytacazes Rio de Janeiro Brazil;

    Department of Surgery Hospital Veterinário UENF Campos de Goytacazes Rio de Janeiro Brazil;

    Department of Surgery Universidade de Pernambuco UPE Recife Brazil;

    Department of Surgery University Hospital Teresopolis HCTCO-FESO Av. Américas 13554 BL.1 AP.207 Barra da Tijuca Rio de Janeiro Brazil;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Flexible endoscopy; NOTES; endoscopic surgery; minimally invasive surgery; vaginal surgery; cholecystectomy;

    机译：柔性内窥镜;NOTES;内窥镜手术;微创手术;阴道手术;胆囊切除术;

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