KẾT QUẢ ĐIỀU TRỊ BỆNH LÝ PHỤ KHOA BẰNG PHẪU THUẬT NỘI SOI QUA ĐƯỜNG ÂM ĐẠO (VNOTES)

Abstract

Objective: This is the first study in Vietnam to evaluate the safety and efficacy of vaginal natural orifice transluminal endoscopic surgery (vNOTES) in the treatment of benign and early-stage malignant gynecologic diseases. Subjects and Methods: A descriptive study was conducted on 32 patients with benign gynecologic tumors and early-stage gynecologic cancers who underwent vaginal natural orifice transluminal endoscopic surgery  at the Department of Gynecologic Surgery, Vietnam National Cancer Hospital. Results: The mean age of patients was 53.7 years. vNOTES was used to treat early-stage gynecologic cancers in 53.1% of cases, including endometrial cancer and carcinoma in situ of the cervix. Benign diseases accounted for 46.9%, including uterine fibroids, uterine polyps, and benign ovarian tumors. Surgical procedures included: total hysterectomy (31.2%), oophorectomy (31.2%), total hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy (28.2%), subtotal hysterectomy (6.3%), and ovarian cystectomy (3.1%). The average operative time was 87.2 minutes. The mean postoperative pain score ( Visual Analog Scale - VAS) was 1.2. The average length of hospital stay was 3.7 days. No intraoperative or postoperative complications were recorded. Conclusion: vNOTES is a feasible, effective, and safe surgical approach for treating both benign and early-stage malignant gynecologic diseases.