A new and practical surgical technique of transvaginal natural orifice specimen extraction surgery (NOSES) in laparoscopic nephroureterectomy-an initial clinical experience

被引:8
|
作者
Zhao, Qinxin [1 ]
Yang, Feiya [1 ]
Wu, Liyuan [1 ]
Han, Sujun [1 ]
Xing, Nianzeng [1 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Clin Res Ctr Canc, Dept Urol,Natl Canc Ctr, 17 Panjiayuan South Li, Beijing 100021, Peoples R China
关键词
3D laparoscopy; natural orifice specimen extraction (NOSES); nephroureterectomy; transvaginal specimen extraction; upper tract urothelial carcinoma; FEMALE SEXUAL FUNCTION; COLECTOMY; RESECTION; COHORT; WOMEN;
D O I
10.1002/jso.26608
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective To explore the safety, feasibility and clinical effect of transvaginal natural orifice specimen extraction surgery (NOSES) in 3D laparoscopic nephroureterectomy (LNU) for upper tract urothelial carcinoma (UTUC). Methods A retrospective analysis was made of 16 female patients who underwent 3D LNU and NOSES in the Department of Urology, Cancer Hospital, Chinese Academy of Medical Sciences from June 2019 to December 2020. The basic clinical data, perioperative related data, perioperative complications, visual analogue pain score (VAS), postoperative scar assessment questionnaire (PSAQ) at 3 months, female pelvic floor dysfunction questionnaire (PFDI-20) and female sexual function index questionnaire (FSFI) at preoperative and postoperative 3 months were analyzed and evaluated. Results The surgery was successfully completed in all 16 patients, and none of them was converted to open surgery. No postoperative complications, such as abdominal incision-related infection. No cases of local recurrence and distant metastasis were observed during follow-up of 3 to 21 months. The VAS scores at 24 h and 48 h after operation were 2.9 +/- 0.7, 1.3 +/- 0.6, respectively. PSAQ scores at 3 months after operation were 34.3 +/- 3.3. PFDI-20 scores of women preoperative and postoperative 3 months were 6.25 +/- 1.75, 6.3 +/- 1.8, respectively, and the difference was not statistically significant (p = 0.924). There was no significant difference in FSFI scores between preoperative and postoperative 3 months (p = 0.892). Conclusion Transvaginal NOSES in 3D LNU for UTUC is safe, feasible and practical. The successful development of this technique has laid a solid foundation for further clinical application and promotion.
引用
收藏
页码:1200 / 1206
页数:7
相关论文
共 50 条
  • [1] Natural orifice specimen extraction in laparoscopic colorectal surgery: transanal and transvaginal approaches
    Franklin, M. E., Jr.
    Liang, S.
    Russek, K.
    TECHNIQUES IN COLOPROCTOLOGY, 2013, 17 (01) : S63 - S67
  • [2] Natural orifice specimen extraction in laparoscopic colorectal surgery: transanal and transvaginal approaches
    M. E. Franklin
    S. Liang
    K. Russek
    Techniques in Coloproctology, 2013, 17 : 63 - 67
  • [3] Transvaginal Natural Orifice Specimen Extraction (NOSE) in Laparoscopic Colorectal Cancer Surgery With New Insights on Technique and Patient Selection
    Seow-En, Isaac
    Khor, Shao Nan
    Koo, Chee Hoe
    Wee, Ian Jun Yan
    Tan, Emile Kwong-Wei
    SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, 2023, 33 (05): : 571 - 575
  • [4] Transvaginal natural orifice specimen extraction surgery (NOSES) in 3D laparoscopic partial or radical nephrectomy: a preliminary study
    Zhao, Qinxin
    Han, Dongdong
    Yang, Feiya
    Han, Sujun
    Xing, Nianzeng
    BMC UROLOGY, 2021, 21 (01)
  • [5] Transvaginal natural orifice specimen extraction surgery (NOSES) in 3D laparoscopic partial or radical nephrectomy: a preliminary study
    Qinxin Zhao
    Dongdong Han
    Feiya Yang
    Sujun Han
    Nianzeng Xing
    BMC Urology, 21
  • [6] Totally laparoscopic anterior resection with transvaginal assistance and transvaginal specimen extraction: a technique for natural orifice surgery combined with reduced-port surgery
    Nishimura, Atsushi
    Kawahara, Mikako
    Honda, Keisuke
    Ootani, Takahiro
    Kakuta, Tomoyuki
    Kitami, Chie
    Makino, Shigeto
    Kawachi, Yasuyuki
    Nikkuni, Keiya
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2013, 27 (12): : 4734 - 4740
  • [7] Totally laparoscopic anterior resection with transvaginal assistance and transvaginal specimen extraction: a technique for natural orifice surgery combined with reduced-port surgery
    Atsushi Nishimura
    Mikako Kawahara
    Keisuke Honda
    Takahiro Ootani
    Tomoyuki Kakuta
    Chie Kitami
    Shigeto Makino
    Yasuyuki Kawachi
    Keiya Nikkuni
    Surgical Endoscopy, 2013, 27 : 4734 - 4740
  • [8] Transvaginal natural orifice specimen extraction surgery in simple nephrectomy
    Kudunthail, Jeena R.
    Sharma, Kartik
    Bhirud, Deepak Prakash
    Singh, Mahendra
    Choudhary, Gautam Ram
    Navriya, Shiv Charan
    Sandhu, Arjun Singh
    INDIAN JOURNAL OF UROLOGY, 2025, 41 (02) : 104 - 110
  • [9] Application of Transvaginal Natural Orifice Specimen Extraction Surgery in Urological Surgery
    Zhao, Qinxin
    Wu, Liyuan
    Yang, Feiya
    Han, Sujun
    Xing, Nianzeng
    JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2023, 33 (03): : 231 - 235
  • [10] A review of sigmoid volvulus and natural orifice specimen extraction surgery (NOSES)
    Uylas, Ufuk
    Gunes, Orgun
    Kaplan, Kuntay
    ANNALS OF LAPAROSCOPIC AND ENDOSCOPIC SURGERY, 2022, 7