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首页> 外文期刊>Surgical Endoscopy >Hybrid transvaginal cholecystectomy, NOTES, and minilaparoscopy: analysis of a prospective clinical series.
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Hybrid transvaginal cholecystectomy, NOTES, and minilaparoscopy: analysis of a prospective clinical series.

机译：混合型经阴道胆囊切除术，NOTES和小型腹腔镜检查：前瞻性临床系列分析。

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INTRODUCTION: Natural orifice transluminal endoscopic surgery (NOTES) makes it possible to perform intraperitoneal surgical procedures with a minimal number of access points in the abdominal wall. It is not yet possible to perform these interventions without the help of abdominal wall entryways, so these procedures are hybrids, a fusion of minilaparoscopy and transluminal endoscopic surgery. In this paper we present a prospective clinical series of 15 patients who underwent transvaginal hybrid cholecystectomy for cholelithiasis. METHODS: This was a prospective clinical series of 15 consecutive female patients, nonrandomly chosen and without a control group, who underwent a fusion transvaginal NOTES and minilaparoscopy procedure with two entryways for cholelithiasis. One was umbilical and measured 5 mm in diameter, and the other was in the right upper quadrant and measured 3 mm in diameter. RESULTS: The scheduled surgical intervention was performed on the 15 patients in whom it had been indicated. Therewere no intraoperative complications. One patient had mild hematuria that resolved in less than 12 h; there were no other complications after average follow-up of 124 days. Nine patients were discharged in 24 h, and two were discharged less than 12 h after the procedure. DISCUSSION: Hybrid transvaginal cholecystectomy is a good surgical model for minimally invasive surgery, a combination of NOTES and minilaparoscopy. It can be performed in surgical settings where laparoscopy is practised regularly, using the instruments normally used for endoscopy and laparoscopic surgery. Owing to the reproducibility of the intervention and the ease of vaginal closure, hybrid transvaginal cholecystectomy will permit further development of NOTES in the future.
机译：简介：自然孔腔内镜手术（NOTES）使得腹膜内手术的操作成为可能，而腹壁的接入点最少。在没有腹壁入口帮助的情况下还不可能进行这些干预，因此这些程序是混合的，是微型腹腔镜和腔内镜手术的融合。在本文中，我们提出了15例行经阴道混合胆囊切除术治疗胆石症的患者的前瞻性临床研究。方法：这是一项前瞻性临床研究，共纳入15例女性患者，这些患者是非随机选择的，没有对照组，他们接受了经阴道阴道融合NOTES和微型腹腔镜检查手术，并有两条入路治疗胆石症。一个是脐带，直径为5毫米，另一个在右上象限，直径为3毫米。结果：计划的手术干预是在15名患者中进行的。术中无并发症。 1例患者轻度血尿，在不到12小时内消失;平均随访124天后，没有其他并发症。 9名患者在24小时内出院，其中2名患者在手术后不到12小时内出院。讨论：混合经阴道胆囊切除术是微创手术的良好手术模型，是NOTES和微型腹腔镜的结合。可以使用通常用于内窥镜和腹腔镜手术的仪器在需要定期进行腹腔镜检查的手术场所进行。由于干预的可重复性和阴道闭合的简便性，混合型经阴道胆囊切除术将在未来进一步发展NOTES。

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