期刊
ACTAS UROLOGICAS ESPANOLAS
卷 33, 期 3, 页码 280-283出版社
ENE EDICIONES SL
DOI: 10.1016/S0210-4806(09)74141-5
关键词
Radical nephrectomy; Hybrid NOTES; Transvaginal
NOTES (Natural Orifice Transluminal Endoscopic Surgery) is a surgical modality that uses empty organs as an access to the peritoneal cavity. avoiding skin incisions. If we combine this surgery with the classical laparoscopic approach, a new hybrid technique is obtained. This approach will permit us to work on wide operating fields With large organs, as the kidney. minimizing skin incisions. We present the first hybrid transvaginal radical nephrectomy due to renal cancer. In order to perform this procedure. We used a vaginal access for introduction of a deflectable camera and the assistance of two additional abdominal trocars. The vaginal incision for the trocar Was enlarged for organ removal. Hybrid transvaginally NOTES assisted radical nephrectomy is a reproducible and feasible technique that has to be kept in mind for women who are candidates to nephrectomy for renal cancer.
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