Natural orifice transvaginal endoscopic surgery for endometrial cancer
Objective: This study was conducted to describe the feasibility of treating endometrial cancer with hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy by natural orifice transluminal endoscopic surgery (NOTES). Methods: Women with early-stage endometrial cancer under...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-08-01
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| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213307014000598 |
| _version_ | 1819105017831882752 |
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| author | Chyi-Long Lee Kai-Yun Wu Fang-Ying Tsao Chen-Ying Huang Chien-Min Han Chih-Feng Yen Kuan-Gen Huang |
| author_facet | Chyi-Long Lee Kai-Yun Wu Fang-Ying Tsao Chen-Ying Huang Chien-Min Han Chih-Feng Yen Kuan-Gen Huang |
| author_sort | Chyi-Long Lee |
| collection | DOAJ |
| description | Objective: This study was conducted to describe the feasibility of treating endometrial cancer with hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy by natural orifice transluminal endoscopic surgery (NOTES).
Methods: Women with early-stage endometrial cancer underwent surgical staging by transvaginal NOTES in a tertiary referral medical center, and surgical outcomes were measured.
Results: Three patients with a mean age of 46.3 [standard deviation (SD) = 2.5] years and a body mass index of 27.7 (SD, 2.4) kg/m2 were selected. The average operative time was 249.3 (SD, 49.3) minutes. All patients had minimal blood loss during the operation (<50 mL) without intraoperative blood transfusion. All of them had a surgical staging of pT1aN0M0 and FIGO IA. No intraoperative or postoperative complications were noted. No cases were converted to traditional laparoscopy or laparotomy.
Conclusion: NOTES is a minimally invasive surgery and leaves only invisible scars. Our preliminary results showed the safety and feasibility of transvaginal NOTES in staging surgery for early-stage endometrial cancer. However, it should be evaluated in more cases. |
| first_indexed | 2024-12-22T02:15:34Z |
| format | Article |
| id | doaj.art-2b5cfeb362854c67ac1ce18b1bcca909 |
| institution | Directory Open Access Journal |
| issn | 2213-3070 |
| language | English |
| last_indexed | 2024-12-22T02:15:34Z |
| publishDate | 2014-08-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj.art-2b5cfeb362854c67ac1ce18b1bcca9092022-12-21T18:42:18ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702014-08-0133899210.1016/j.gmit.2014.08.004Natural orifice transvaginal endoscopic surgery for endometrial cancerChyi-Long Lee0Kai-Yun Wu1Fang-Ying Tsao2Chen-Ying Huang3Chien-Min Han4Chih-Feng Yen5Kuan-Gen Huang6Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, ROCDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, ROCDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, ROCDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, ROCDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, ROCDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, ROCDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan, ROCObjective: This study was conducted to describe the feasibility of treating endometrial cancer with hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy by natural orifice transluminal endoscopic surgery (NOTES). Methods: Women with early-stage endometrial cancer underwent surgical staging by transvaginal NOTES in a tertiary referral medical center, and surgical outcomes were measured. Results: Three patients with a mean age of 46.3 [standard deviation (SD) = 2.5] years and a body mass index of 27.7 (SD, 2.4) kg/m2 were selected. The average operative time was 249.3 (SD, 49.3) minutes. All patients had minimal blood loss during the operation (<50 mL) without intraoperative blood transfusion. All of them had a surgical staging of pT1aN0M0 and FIGO IA. No intraoperative or postoperative complications were noted. No cases were converted to traditional laparoscopy or laparotomy. Conclusion: NOTES is a minimally invasive surgery and leaves only invisible scars. Our preliminary results showed the safety and feasibility of transvaginal NOTES in staging surgery for early-stage endometrial cancer. However, it should be evaluated in more cases.http://www.sciencedirect.com/science/article/pii/S2213307014000598endometrial cancerhysterectomylaparoscopic staging surgerynatural orifice transvaginal endoscopic surgery (NOTES)scarless |
| spellingShingle | Chyi-Long Lee Kai-Yun Wu Fang-Ying Tsao Chen-Ying Huang Chien-Min Han Chih-Feng Yen Kuan-Gen Huang Natural orifice transvaginal endoscopic surgery for endometrial cancer Gynecology and Minimally Invasive Therapy endometrial cancer hysterectomy laparoscopic staging surgery natural orifice transvaginal endoscopic surgery (NOTES) scarless |
| title | Natural orifice transvaginal endoscopic surgery for endometrial cancer |
| title_full | Natural orifice transvaginal endoscopic surgery for endometrial cancer |
| title_fullStr | Natural orifice transvaginal endoscopic surgery for endometrial cancer |
| title_full_unstemmed | Natural orifice transvaginal endoscopic surgery for endometrial cancer |
| title_short | Natural orifice transvaginal endoscopic surgery for endometrial cancer |
| title_sort | natural orifice transvaginal endoscopic surgery for endometrial cancer |
| topic | endometrial cancer hysterectomy laparoscopic staging surgery natural orifice transvaginal endoscopic surgery (NOTES) scarless |
| url | http://www.sciencedirect.com/science/article/pii/S2213307014000598 |
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