Discharge within 24 h, transvaginal natural orifice transluminal endoscopic surgery- more suitable for ambulatory surgery in gynecology procedures: a retrospective study

作者全名：Zhong, Fangyuan; Dai, Yueyu; Liao, Xiaoyan; Cheng, Wei; Liu, Ying; Liu, Yan; Yan, Ziru; Lin, Yonghong; Gan, Xiaoqin

作者地址：[Zhong, Fangyuan; Liao, Xiaoyan; Cheng, Wei; Liu, Ying; Liu, Yan; Yan, Ziru; Lin, Yonghong; Gan, Xiaoqin] Univ Elect Sci & Technol China, Chengdu Womens & Childrens Cent Hosp, Dept Gynecol & Obstetr, Sch Med, 1617 Riyue Ave, Chengdu 610073, Sichuan, Peoples R China; [Dai, Yueyu] Chongqing Med Univ, Affiliated Hosp 2, Chongqing 400042, Peoples R China

通信作者：Gan, XQ (通讯作者)，Univ Elect Sci & Technol China, Chengdu Womens & Childrens Cent Hosp, Dept Gynecol & Obstetr, Sch Med, 1617 Riyue Ave, Chengdu 610073, Sichuan, Peoples R China.

来源：BMC WOMENS HEALTH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001219676100001

JCR分区：Q2

影响因子：2.4

年份：2024

卷号：24

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：VNOTES; Laparo-endoscopic single-site surgery; Ambulatory surgery; Gynecology procedures

摘要：Background Natural orifice transluminal endoscopic surgery (NOTES) is an achievement in the field of minimally invasive surgery. However, the vantage point of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in gynecologicalprocedures remains unclear. The main purpose of this study was to compare vNOTES with laparo-endoscopic single-site surgery, and to determine which procedure is more suitable for ambulatory surgery in gynecologic procedures. Methods This retrospective observational study was conducted at the Department of Gynecology, Chengdu Women's and Children's Central Hospital. The 207 enrolled patients had accepted vNOTES and laparo-endoscopic single-site surgery in gynecology procedures from February 2021 to March 2022. Surgically relevant information regarding patients who underwent ambulatory surgery was collected, and 64 females underwent vNOTES. Results Multiple outcomes were analyzed in 207 patients. The Wilcoxon Rank-Sum test showed that there were statistically significant differences between the vNOTES and laparo-endoscopic single-site surgery groups in terms of postoperative pain score (0 vs. 1 scores, p = 0.026), duration of anesthesia (90 vs. 101 min, p = 0.025), surgery time (65 vs. 80 min, p = 0.015), estimated blood loss (20 vs. 40 mL, p < 0.001), and intestinal exhaustion time (12.20 vs. 17.14 h, p < 0.001). Treatment with vNOTES resulted in convenience, both with respect to time savings and hemorrhage volume in surgery and with respect to the quality of the prognosis. Conclusion These comprehensive data reveal the capacity of vNOTES to increase surgical efficiency. vNOTES in gynecological procedures may demonstrate sufficient feasibility and provide a new medical strategy compared with laparo-endoscopic single-site surgery for ambulatory surgery in gynecological procedures.

基金机构：　

基金资助正文：