Journal
SURGICAL INNOVATION
Volume 15, Issue 3, Pages 161-165Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1553350608320553
Keywords
flexible endoscopy; natural orifice transluminal endoscopic surgery; NOTES; endoscopic surgery; laparoscopy; vaginal surgery; cancer staging
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Laparoscopy is now a reliable method for staging gastrointestinal cancer, orienting the therapy, and avoiding unnecessary laparotomy. Natural orifice transluminal endoscopic surgery (NOTES) is an emerging concept with potential advantages for patient recovery The first case of clinical diagnostic application of transvaginal NOTES for diagnostic cancer staging is presented. Informed consent and Institutional Commission approval were obtained for transvaginal clinical trials. On February 28, 2007, a patient with elective Surgical indication for diagnostic cancer staging was submitted to transvaginal NOTES procedure, and intra- and postoperative parameters were documented. In a 50-year-old female patient presenting with ascitis, diffuse abdominal pain, and weight loss for 2 months, diagnosis of peritoneal carcinomatosis was Suspected, which was also found when a CT scan was performed.
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