• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Transvaginal natural orifice transluminal endoscopic surgery in the morbidly obese.
【24h】

Transvaginal natural orifice transluminal endoscopic surgery in the morbidly obese.

机译：经阴道自然孔腔内镜手术在病态肥胖。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The objective of this study is to assess the safety and efficacy of transvaginal (TV) natural orifice transluminal endoscopic surgery (NOTES) operations in morbidly obese patients.One hundred seven NOTES operations have been performed at our institution to date, of which 17 were completed in patients with body mass index (BMI) between 35 and 45 kg/m(2). These included 14 cholecystectomies, one appendectomy, and two ventral hernia repairs. The patients had average age of 36.2 years (range 19-62 years) and average BMI of 38.9 kg/m(2) (range 35.2-44.9 kg/m(2)). The mean number of previous abdominal operations was 1. The TV cholecystectomies were hybrid NOTES procedures, while TV appendectomy and ventral hernia repair were pure NOTES. All operations were completed with standard straight laparoscopic instruments.The mean operative time was 60 min for cholecystectomy, 41 min for TV appendectomy, and 90 min for ventral hernia repair. No significant difference was encountered between the operative time for NOTES cholecystectomies in obese versus nonobese (60 vs. 61 min, p = 0.86). No conversions to traditional laparoscopy or open surgery were made, and no major complications were encountered.NOTES is an attractive alternative to laparoscopy in female patients with morbid obesity. The procedures are safe and have short operative times, good postoperative outcomes, and improved cosmesis compared with laparoscopy.
机译：这项研究的目的是评估经病态肥胖患者经阴道自然孔腔内镜手术（NOTES）的安全性和有效性。迄今为止，我们机构已进行了107例NOTES手术，其中17例已经完成体重指数（BMI）在35至45 kg / m之间的患者（2）。其中包括14例胆囊切除术，1例阑尾切除术和2例腹侧疝修补术。患者的平均年龄为36.2岁（范围为19-62岁），平均BMI为38.9 kg / m（2）（范围35.2-44.9 kg / m（2））。先前腹部手术的平均次数为1。电视胆囊切除术是混合式NOTES手术，而电视阑尾切除术和腹侧疝修补术是纯NOTES手术。所有手术均使用标准的直立腹腔镜仪器完成。胆囊切除术的平均手术时间为60分钟，电视阑尾切除术的平均手术时间为41分钟，腹侧疝修补术的平均手术时间为90分钟。肥胖与非肥胖的NOTES胆囊切除术的手术时间之间没有显着差异（60 vs. 61 min，p = 0.86）。没有进行传统腹腔镜手术或开放手术的转换，也没有遇到重大并发症。对于患有病态肥胖的女性患者，NOTES是腹腔镜手术的一种有吸引力的替代方法。与腹腔镜检查相比，该手术是安全的，并且手术时间短，术后效果好，美容效果更好。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号