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Transvaginal Endoscopic Appendectomy

대한대장항문학회지 2010년 26권 6호 p.429 ~ 432
신응진 ( Shin Eung-Jin ) - 순천향대학교 의과대학 부천병원 외과학교실

정귀애 ( Jeong Gui-Ae ) - 순천향대학교 의과대학 외과학교실
정준철 ( Chung Jun-Chul ) - 순천향대학교 의과대학 부천병원 외과학교실
조규석 ( Cho Gyu-Seok ) - 순천향대학교 의과대학 부천병원 외과학교실
 ( Lim Chul-Wan ) - 순천향대학교 의과대학 부천병원 외과학교실
김현철 ( Kim Hyung-Chul ) - 순천향대학교 의과대학 부천병원 외과학교실
송옥평 ( Song Ok-Pyung ) - 순천향대학교 의과대학 부천병원 외과학교실


Since Kalloo and colleagues first reported the feasibility and safety of a peroral transgastric approach in the porcine model in 2004, various groups have reported more complex natural orifice transluminal endoscopic surgery (NOTES) procedures, such as the cholecystectomy, splenectomy and liver biopsy, in the porcine model. Natural orifice access to the abdominal cavity, such as transgastric, transvesical, transcolonic, and transvaginal, has been described. Although a novel, minimally invasive approach to the abdominal cavity is a peroral endoscopic transgastric approach, there are still some challenging issues, such as the risk of infection and leakage, and the method of gastric closure. Hybrid-NOTES is an ideal first step in humans. Human hybrid transvaginal access has been used for years by many surgeons for diagnostic and therapeutic purposes. Here, we report a transvaginal flexible endoscopic appendectomy, with a 5-mm umbilical port using ultrasonic scissors in a 74-year-old woman with acute appendicitis.


Endoscopy; Appendectomy; Hybrid NOTES
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