ArticleSurgical endoscopy2020
Robotic natural orifice transluminal endoscopic surgery (NOTES) hysterectomy as a scarless and gasless surgery.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 34 citations in OpenAlex.
- Gasless vNOTES vs. traditional vNOTES for benign gynecological disease: a randomized controlled clinical trial.BMC anesthesiology · 2025Trial
- Learning curve and surgical time predictors in robot-assisted transvaginal natural orifice transluminal endoscopic surgery: a risk-adjusted cumulative sum analysis.Journal of robotic surgery · 2026Article
- Robotic single-port (SP) vaginal hysterectomy: the first cases in Europe and surgical steps.Surgical endoscopy · 2026Article
- Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for hysterectomy strategic repositioning of the vaginal route through technological evolution and emerging surgical variants.Obstetrics & gynecology science · 2026Review
- Impact of Trendelenburg angle on perioperative outcomes during gasless vNOTES surgeries: a retrospective comparative study.BMC anesthesiology · 2026Article
- Isobaric NOTES hysterectomy: an alternative to transvaginal NOTES hysterectomy.Obstetrics & gynecology science · 2025Article
- The feasibility and surgical outcomes of robotic vaginal natural orifice transluminal endoscopic single port hysterectomy for benign gynecologic diseases: a systematic review and meta-analysis.AJOG global reports · 2025Review
- The Feasibility and Safety of Robot-Assisted Vaginal Natural Orifice Transluminal Endoscopic Surgery (RA-vNOTES) for Gynecologic Disease: 298-Case Series.Healthcare (Basel, Switzerland) · 2025Article
- A comparative analysis of hysterectomy outcomes: robotic single-port vs. traditional transvaginal NOTES approaches.Frontiers in medicine · 2025Article
- Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy Deconstructed: Expanding Minimally Invasive Gynecologic Surgeons' Toolbox.Journal of gynecologic surgery · 2024Article
- Gasless transvaginal natural orifice transluminal endoscopic surgery for hysterectomy and salpingectomy on a robot platform with flexible devices in a porcine model.Scientific reports · 2024Article
- The comparison of gasless and traditional robot-assisted transvaginal natural orifice transluminal endoscopic surgery in hysterectomy.Frontiers in medicine · 2023Article
- Sentinel Lymph Node Mapping and Staging Surgery Via Gasless Transvaginal Natural Orifice Transluminal Endoscopic Surgery: A Case Report of an Endometrial Cancer Patient and Comorbid Rheumatic Heart Disease.The American journal of case reports · 2022Article
- A prospective study of specimen eversion to lateral rectum and valgus resection for low rectal cancer.Frontiers in surgery · 2022Article
- Therapeutic effect of transumbilical single-port laparoscopic surgery versus triple-port laparoscopic surgery for ovarian cyst.American journal of translational research · 2021Article
- Vaginal Natural Orifice Transluminal Endoscopic Surgery Revolution: The Next Frontier in Gynecologic Minimally Invasive Surgery.JSLS : Journal of the Society of Laparoendoscopic SurgeonsReview
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo report a new surgical technique for hysterectomy using robotic natural orifice transluminal endoscopic surgery (NOTES) as a scarless and gasless procedure.
methodsThirteen consecutive patients with benign uterine disease underwent robotic NOTES hysterectomy at Eulji University Hospital between February 2017 and May 2018.
resultsDue to the presence of pelvic adhesions, one of these patients underwent hybrid robotic NOTES hysterectomy with the assistance of isobaric single port laparoscopy; however, there was no conversion to another hysterectomy type such as conventional laparoscopy, laparotomy, or traditional multiport robotic surgery. Median uterine weight was 290 g (range 115-892 g). Median docking and console times were 15 min (range 5-25 min) and 135 min (range 92-215 min), respectively. Mean change in hemoglobin on the first postoperative day was 0.67 ± 0.7 g/dL. Median EBL was 50 mL (20-450 mL). Median postoperative hospital stay was 3 days (3-4 days). No patients experienced postoperative complications such as damage to adjacent organs, re-operation, or vaginal cuff hematoma.
conclusionsOur findings show that robotic NOTES hysterectomy is a feasible and safe scarless and gasless surgical technique. It is an effective, minimally invasive vaginal access alternate to NOTES-assisted vaginal hysterectomy or conventional robotic laparoendoscopic single-site surgery hysterectomy in the surgical management of benign uterine disease. Nevertheless, further prospective controlled studies are needed to determine its full clinical application.
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