Open AccessNatural orifice transvaginal endoscopic surgery for endometrial cancer
Author(s) -
ChyiLong Lee,
KouJuey Wu,
Fang-Ying Tsao,
Chung-Yuan Huang,
Chien-Min Han,
ChihFeng Yen,
Kuan-Gen Huang
Publication year - 2014
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.1016/j.gmit.2014.08.004
Subject(s) - medicine , endometrial cancer , surgery , stage (stratigraphy) , laparotomy , hysterectomy , blood loss , lymphadenectomy , natural orifice transluminal endoscopic surgery , laparoscopy , cancer , paleontology , biology
ObjectiveThis study was conducted to describe the feasibility of treating endometrial cancer with hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy by natural orifice transluminal endoscopic surgery (NOTES).MethodsWomen with early-stage endometrial cancer underwent surgical staging by transvaginal NOTES in a tertiary referral medical center, and surgical outcomes were measured.ResultsThree patients with a mean age of 46.3 [standard deviation (SD) = 2.5] years and a body mass index of 27.7 (SD, 2.4) kg/m2 were selected. The average operative time was 249.3 (SD, 49.3) minutes. All patients had minimal blood loss during the operation (<50 mL) without intraoperative blood transfusion. All of them had a surgical staging of pT1aN0M0 and FIGO IA. No intraoperative or postoperative complications were noted. No cases were converted to traditional laparoscopy or laparotomy.ConclusionNOTES is a minimally invasive surgery and leaves only invisible scars. Our preliminary results showed the safety and feasibility of transvaginal NOTES in staging surgery for early-stage endometrial cancer. However, it should be evaluated in more cases