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经自然腔道内镜手术(natural orifice transluminal endoscopic surgery,NOTES),以其创伤更小、恢复更快、美容效果更佳等优势,正引领着外科手术的第三次革新浪潮。其中,泌尿外科NOTES的发展较为迅速。但是,由于受到器械和操作技术等因素的限制,泌尿外科NOTES的临床研究多集中在混合NOTES方面。另外,由于其他入路尚不成熟,泌尿外科NOTES的入路以经阴道途径为主。近年来,泌尿外科学者积极开展了NOTES的实验研究和临床研究,在NOTES的入路选择、感染预防、工作通道建立、操作技术及特殊器械研发等领域进行了有益探索,进展喜人。本文就NOTES在泌尿外科领域的应用进展作一小结。
Natural orifice transluminal endoscopic surgery (NOTES) is leading the third revolution in surgery with its advantages of less trauma, faster recovery and better cosmetic results. Among them, the development of urology NOTES more rapidly. However, clinical studies of urology NOTES are mostly focused on mixed NOTES due to limitations of equipment and operation techniques. In addition, due to the immature other approaches, urinary tract NOTES approach mainly transvaginal approach. In recent years, urologists actively carried out experimental and clinical studies of NOTES and made good progress in fields of NOTES such as choice of access, prevention of infection, establishment of working channel, operation technique and special device research and so on. This article summarizes the progress of NOTES in the field of urology.