经阴道自然腔道内镜手术在妇科手术应用中的难点及策略

Transvaginal natural orifice transluminal endoscopic surgery in gynecologic surgery:difficulties and strategies

经阴道自然腔道内镜手术(vNOTES)作为新兴的微创外科技术,广泛应用于妇科领域,但在应用中还存在着一定的难点。文章详细论述了vNOTES在妇科手术中应用的适应证和禁忌证、入路平台建立的难点及对策、手术视野的暴露问题、术中并发症的预防和处理以及感染预防等。

Transvaginal NOTES surgery,as an emerging minimally invasive surgical technique,is widely used in gynecology disease.However,there are some difficulties in clinical application.This article discusses the indications and contraindications of transvaginal NOTES,the difficulties and countermeasures in the establishment of the access platform,the exposure problems of the surgical visual field,the complications encountered during the operation and their treatment,and infection prevention.