妇科经自然腔道内镜手术并发症预防与处理

Prevention and management of complications in natural orifice transluminal endoscopic surgery in gynecology

随着微创技术不断发展,经自然腔道内镜手术(NOTES)在妇科的临床应用逐渐增多,目前常见的有经阴道和经脐两种手术方式,具有术后恢复快、切口无瘢痕、术后疼痛轻、患者住院时间短等优势。然而,如同其他微创手术一样,NOTES仍然可能出现不同的并发症,如入路相关并发症、出血、邻近器官损伤等。只有严格把握NOTES的适应证,提高手术技能,才有可能减少并发症的发生。

Along with the innovation of minimally invasive techniques and instrumentations,the surgical route through a natural orifice has been widely utilized.At present,there are two common surgeries-transvaginal and trans-umbilical,and there are many advantages,including quick postoperative recovery,incisional cosmesis,rapid postoperative pain relief,and shorter hospital stay.However,different complications may occur after natural orifice surgery,such as entryrelated complications,bleeding,and adjacent organ injury.The key to reducing surgical complications can be achieved by strictly following the indications and improving the operative skills of natural orifice surgery.