BACKGROUND: Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) has shown promise as a minimally invasive laparoscopic surgery technique. OBJECTIVE: To investigate the feasibility and surgical outcome of E-NOTES for adnexal tumors. METHODS: We performed E-NOTES in 12 patients with adnexal tumors through a 2-cm intraumblical incision. A single-port access system comprising a wound protractor and a surgical glove was used. A prospective data registry was used in this study. RESULTS: Since 1 July 2008, 12 patients have undergone E-NOTES for adnexal tumors. E-NOTES in all 12 cases was completed successfully without conversion to standard laparoscopic approach. Median operative time for creating an E-NOTES access system and the ensuing operative procedures was 6 min (range 5-15 min) and 73 min (range 25-110 min), respectively. Median blood loss was <10 ml. No complications requiring treatment occurred. CONCLUSION: E-NOTES is a feasible alternative method for resection of adnexal tumors with better cosmetic outcome. More experience and instrumental improvement suitable for E-NOTES are needed.
BACKGROUND: Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) has shown promise as a minimally invasive laparoscopic surgery technique. OBJECTIVE: To investigate the feasibility and surgical outcome of E-NOTES for adnexal tumors. METHODS: We performed E-NOTES in 12 patients with adnexal tumors through a 2-cm intraumblical incision. A single-port access system comprising a wound protractor and a surgical glove was used. A prospective data registry was used in this study. RESULTS: Since 1 July 2008, 12 patients have undergone E-NOTES for adnexal tumors. E-NOTES in all 12 cases was completed successfully without conversion to standard laparoscopic approach. Median operative time for creating an E-NOTES access system and the ensuing operative procedures was 6 min (range 5-15 min) and 73 min (range 25-110 min), respectively. Median blood loss was <10 ml. No complications requiring treatment occurred. CONCLUSION: E-NOTES is a feasible alternative method for resection of adnexal tumors with better cosmetic outcome. More experience and instrumental improvement suitable for E-NOTES are needed.
Authors: Anthony N Kalloo; Vikesh K Singh; Sanjay B Jagannath; Hideaki Niiyama; Susan L Hill; Cheryl A Vaughn; Carolyn A Magee; Sergey V Kantsevoy Journal: Gastrointest Endosc Date: 2004-07 Impact factor: 9.427
Authors: Sang Young Roh; Sook Hee Hong; Yoon Ho Ko; Tae Hee Kim; Myung Ah Lee; Byoung Yong Shim; Jae Ho Byun; In Sook Woo; Jin Hyoung Kang; Young Seon Hong; Kyung Shik Lee Journal: Cancer Res Treat Date: 2007-06-30 Impact factor: 4.679
Authors: Yong Wook Jung; Maria Lee; Ga Won Yim; San Hui Lee; Ji Heum Paek; Ha Yan Kwon; Eun Ji Nam; Sang Wun Kim; Young Tae Kim Journal: Surg Endosc Date: 2011-02-07 Impact factor: 4.584