Korean J Urol.  2009 May;50(5):505-507.

Hybrid Transvaginal Gastro-Endoscopic Nephrectomy in a Porcine Model

• Jeong W
• Park SY
• Kim SW
• Rha KH
• Yang SC
• Han WK

Abstract

This animal experimental study reports one case of hybrid transvaginal natural orifice transluminal endoscopic surgery (NOTES) for nephrectomy. We performed a nephrectomy through a transvaginal access and 2 additional 5 mm trocars in the abdomen by using the keyhole technique. The specimen was removed through the vaginal tract. The total procedure time was 102 minutes. There were no intraoperative complications.

Keyword

Gastroscopy; Laparoscopy; Minimally invasive; Nephrectomy; Vagina

MeSH Terms

Abdomen
Animal Experimentation
Chimera
Gastroscopy
Intraoperative Complications
Laparoscopy
Natural Orifice Endoscopic Surgery
Nephrectomy
Surgical Instruments
Vagina

Figure

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  Fig. 1 Diagram of the combined transvaginal/transabdominal approach (hybrid NOTES) to nephrectomy. NOTES: natural orifice transluminal endoscopic surgery.

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  Fig. 2 Division of the renal artery (a) and vein (b) by a laparoscopic scissor.

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  Fig. 3 Ligation of the renal hilum (a) and ureter (b) by a laparoscopic clip.

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