vNOTES全子宫+前哨淋巴结切除治疗Ⅰ期子宫内膜癌

vNOTES hysterectomy plus sentinel lymph node biopsy for stageⅠendometrial cancer

经阴道自然腔道内镜手术(transvaginal natural orifice transluminal endoscopic surgery,vNOTES)在世界范围内兴起,也是目前经自然腔道内镜手术(natural orifice transluminal endoscopic surgery,NOTES)中最受推崇手术方式,已在子宫肌瘤、卵巢肿瘤等妇科良性肿瘤中广泛应用。在妇科恶性肿瘤方面,如早期子宫内膜癌手术、早期宫颈癌手术等应用尚处于探索阶段[1]。本文以vNOTES全子宫+前哨淋巴结切除治疗Ⅰ期子宫内膜癌为例,阐述研究进展和操作要点。

Over the past decade,transvaginal natural orifice transluminal endoscopic surgery(vNOTES)has emerged worldwide and is currently the most favored approach among NOTES procedures.It has been widely used in benign gynecological disease such as hysteromyoma and ovarian cyst.Regarding malignant gynecological tumors,such as early-stage endometrial cancer surgery and early-stage cervical cancer surgery,its application is still in the exploratory stage.This article takes vNOTES total hysterectomy with sentinel lymph node dissection for stageⅠendometrial cancer as an example to elucidate surgical techniques and considerations.