经阴道自然腔道内镜全子宫切除术——“第三代外科手术”在妇科领域的初步探索

Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery:a preliminary study on“third generation surgery”

全子宫切除术是治疗妇科良性子宫病变的常见手术方式。经阴道自然腔道内镜手术(transvaginal natural orifice transluminal surgery,vNOTES)被称为继开腹手术、传统腹腔镜手术之后的“第三代外科手术”,正逐步应用于妇科手术之中。文章通过查阅近年国内外相关文献,并结合临床实践经验,对vNOTES全子宫切除术的应用现状、优势以及局限性进行了全面系统的阐述。分析和探讨了vNOTES全子宫切除术的学习曲线、并发症及防治措施。

Total hysterectomy is a common surgical procedure for the treatment of gynecological benign uterine lesions.vNOTES Surgery is known as the"third generation of surgery"after open surgery and traditional laparoscopic surgery,which is gradually applied in gynecological surgery.By reviewing the relevant domestic and foreign literature and clinical practice experience,the current status,advantages and limitations of v NOTES total hysterectomy are comprehensively and systematically expounded.The learning curve,complications and prevention measures of v NOTES total hysterectomy are analyzed and explored.