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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2009

01-11-2009

Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors

Authors: Myong Cheol Lim, Tae-Joong Kim, Sokbom Kang, Duk-Soo Bae, Sang-Yoon Park, Sang-Soo Seo

Published in: Surgical Endoscopy | Issue 11/2009

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Abstract

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.
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Metadata
Title
Embryonic natural orifice transumbilical endoscopic surgery (E-NOTES) for adnexal tumors
Authors
Myong Cheol Lim
Tae-Joong Kim
Sokbom Kang
Duk-Soo Bae
Sang-Yoon Park
Sang-Soo Seo
Publication date
01-11-2009
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 11/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-009-0408-4

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