经阴道自然腔道内镜手术在妇科恶性肿瘤中的应用

经阴道自然腔道内镜手术（transvaginal natural orifice transluminal endoscopic surgery,vNOTES）近年来得到快速发展,与传统膜腔镜手术或经脐单孔腹腔镜手术相比,vNOTES具有体表无瘢痕、疼痛轻和术后康复快等优势,目前多用于妇科良性疾病,在妇科恶性肿瘤方面的运用尚有争议,因此,国内外学者针对vNOTES用于妇科恶性肿瘤治疗进行了许多有益的尝试,初步证实了该术式在一定范围内的可行性。综述了vNOTES在妇科恶性肿瘤方向应用的现状、优势、困难与操作要点。

Application of Transvaginal Natural Orifice Transluminal Endoscopic Surgery in Gynecological Malignant Tumors

Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) has flourished in the past decade. Compared with traditional laparoscopic surgery or laparoendoscopic single-site surgery, vNOTES has the advantages of scar-free, mild pain and fast recovery. Nowadays it is mostly used for gynecological benign diseases, and its application in gynecological malignant tumors is still controversial. Therefore, domestic and foreign scholars have made many beneficial attempts for the treatment of gynecological malignant tumors, initially confirming the feasibility of this operation. In this paper, the current situation, advantages, difficulties and technical skills of vNOTES surgery in gynecological malignant tumors are discussed.