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Recent advances in minimally invasive surgery for gynecologic indications

구유진
영남대학교 의과대학 (Yeungnam University College of Medicine)|2018.12|Journal of Yeungnam Medical Science|제35권 제2호|pp. 150-155|DOI https://doi.org/10.12701/yujm.2018.35.2.150

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참고문헌

키워드

LaparoscopyMinimally invasive surgical proceduresNatural orifice endoscopic surgery
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초록

Recently, an increasing interest in less invasive surgery has led to the advent of laparoendoscopic singlesite surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES). LESS and NOTES could be technically challenging, but available literature has demonstrated the feasibility and safety of LESS for benign gynecologic diseases. However, the evidence is not strong enough to recommend the use of LESS over that of conventional multiport laparoscopic surgery (MLS). As per the results of the most recently published meta-analysis, the majority of surgical outcomes are equivalent between LESS and MLS, except for the longer operative time in LESS for both adnexal surgery and hysterectomy. Although an increasing number of studies have reported on robotic LESS, NOTES, and LESS for gynecologic malignancy, definite conclusions have not been drawn owing to the lack of sufficient information.

Abstract

Recently, an increasing interest in less invasive surgery has led to the advent of laparoendoscopic singlesite surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES). LESS and NOTES could be technically challenging, but available literature has demonstrated the feasibility and safety of LESS for benign gynecologic diseases. However, the evidence is not strong enough to recommend the use of LESS over that of conventional multiport laparoscopic surgery (MLS). As per the results of the most recently published meta-analysis, the majority of surgical outcomes are equivalent between LESS and MLS, except for the longer operative time in LESS for both adnexal surgery and hysterectomy. Although an increasing number of studies have reported on robotic LESS, NOTES, and LESS for gynecologic malignancy, definite conclusions have not been drawn owing to the lack of sufficient information.

참고문헌 (35)

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관련 논문AI추천

Clinical relevance of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecology김영태, Ga Won Yim, Jung Chul Kim대한산부인과학회 · Obstetrics & Gynecology Science2024 · 제67권 제2호Robotic surgery in Gynecology: the present and the future김미란, Gen Yuki, Jae-Yen Song, Jisu Mun, JungYoon Park, SeongEun Bak, Su Jeong Lee, Youn-Jee Chung대한산부인과학회 · Obstetrics & Gynecology Science2023 · 제66권 제6호A comparison of clinical and surgical outcomes between laparo-endoscopic single-site surgery and traditional multiport laparoscopic surgery for adnexal tumors김상운, 김성훈, 김영태, 남은지, 윤정원, 이인옥, 임가원, 정다운대한산부인과학회 · Obstetrics & Gynecology Science2014 · 제57권 제05호Isobaric NOTES hysterectomy: an alternative to transvaginal NOTES hysterectomyChul Kwon Lim, Jae Young Kwack, Jun-Hyeok Kang, Kwan Young Oh, Seong Hee Kim, Yun Seok Yang대한산부인과학회 · Obstetrics & Gynecology Science2025 · 제68권 제5호Robotic-assisted laparoscopic myomectomy: the feasibility in single-site system김미경, 김미라, 김미선, 배효숙, 성석주, 윤보성, 정용욱, 최수현, 홍소연대한산부인과학회 · Obstetrics & Gynecology Science2019 · 제62권 제1호Single-port access versus conventional multi-port access total laparoscopic hysterectomy for very large uterus김상운, 김성훈, 김영태, 남은지, 이진화, 황선미대한산부인과학회 · Obstetrics & Gynecology Science2015 · 제58권 제3호

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