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Abstract：
OBJECTIVE: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) has been applied massively in the gynecological field in recent years. The aim of the current study is to present the surgical technique of vNOTES omentectomy and to evaluate the feasibility of this procedure.
METHODS: A case series study of the first 5 vNOTES omentectomy procedures performed for surgical staging of suspicious early stage ovarian cancer, at Rambam Health Care Campus (Israel) and Imelda Hospital (Belgium) between November 2018 and August 2019. Sociodemographic and clinical data were retrieved from patients\' electronic charts. Primary points of interest included intra-operative bleeding, length of surgery, length of hospitalization, and surgical complications.
RESULTS: The median age was 61 years (range 50-72), and the median BMI was 27 kg/m2 (range 23-33). All the operations were carried out to completion through the vaginal GelPOINT, without insertion of an assistant abdominal trocar or conversion to another surgical approach. The median omentectomy time was 45 min (range: 39-52). The median estimated intraoperative blood loss was 150 ml (range: 20-200). The median hospital stay was 2 days (range: 1-3).
CONCLUSIONS: vNOTES is a feasible technique for omentectomy in early stage ovarian cancer, with low rates of complications and improved cosmetic results.
METHODS: A case series study of the first 5 vNOTES omentectomy procedures performed for surgical staging of suspicious early stage ovarian cancer, at Rambam Health Care Campus (Israel) and Imelda Hospital (Belgium) between November 2018 and August 2019. Sociodemographic and clinical data were retrieved from patients\' electronic charts. Primary points of interest included intra-operative bleeding, length of surgery, length of hospitalization, and surgical complications.
RESULTS: The median age was 61 years (range 50-72), and the median BMI was 27 kg/m2 (range 23-33). All the operations were carried out to completion through the vaginal GelPOINT, without insertion of an assistant abdominal trocar or conversion to another surgical approach. The median omentectomy time was 45 min (range: 39-52). The median estimated intraoperative blood loss was 150 ml (range: 20-200). The median hospital stay was 2 days (range: 1-3).
CONCLUSIONS: vNOTES is a feasible technique for omentectomy in early stage ovarian cancer, with low rates of complications and improved cosmetic results.
摘要：
目的：经阴道自然腔道内镜手术（vNOTES）近年来在妇科领域得到了大量应用。本研究的目的是介绍vNOTES网膜切除术的手术技术，并评估该手术的可行性。
方法：对可疑早期卵巢癌手术分期进行的前5例vNOTES网膜切除术的病例系列研究，在Rambam医疗保健校园（以色列）和伊梅尔达医院（比利时）2018年11月至2019年8月之间。从患者的电子图表中检索社会人口统计学和临床数据。主要关注点包括术中出血，手术长度,住院时间,和手术并发症。
结果：中位年龄为61岁（范围50-72），BMI中位数为27kg/m2（范围23-33）。所有的手术都是通过阴道GelPOINT完成的，没有插入辅助腹部套管针或转换为另一种手术方法。中位网膜切除术时间为45分钟（范围：39-52）。估计术中失血量的中位数为150ml(范围:20-200)。中位住院时间为2天（范围：1-3）。
结论：vNOTES是一种可行的技术用于早期卵巢癌的网膜切除术，并发症发生率低，美容效果改善。
方法：对可疑早期卵巢癌手术分期进行的前5例vNOTES网膜切除术的病例系列研究，在Rambam医疗保健校园（以色列）和伊梅尔达医院（比利时）2018年11月至2019年8月之间。从患者的电子图表中检索社会人口统计学和临床数据。主要关注点包括术中出血，手术长度,住院时间,和手术并发症。
结果：中位年龄为61岁（范围50-72），BMI中位数为27kg/m2（范围23-33）。所有的手术都是通过阴道GelPOINT完成的，没有插入辅助腹部套管针或转换为另一种手术方法。中位网膜切除术时间为45分钟（范围：39-52）。估计术中失血量的中位数为150ml(范围:20-200)。中位住院时间为2天（范围：1-3）。
结论：vNOTES是一种可行的技术用于早期卵巢癌的网膜切除术，并发症发生率低，美容效果改善。
