[First report on hybrid transvaginal nephrectomy for renal cancer]. / Primera nefrectomia transvaginal híbrida por cáncer renal.

NOTES (Natural Orifice Transluminal Endoscopic Surgery) is a surgical modality that uses empty organs as an access to the peritoneal cavity, avoiding skin incisions. If we combine this surgery with the classical laparoscopic approach, a new hybrid technique is obtained. This approach will permit us to work on wide operating fields with large organs, as the kidney, minimizing skin incisions. We present the first hybrid transvaginal radical nephrectomy due to renal cancer. In order to perform this procedure, we used a vaginal access for introduction of a deflectable camera and the assistance of two additional abdominal trocars. The vaginal incision for the trocar was enlarged for organ removal. Hybrid transvaginally NOTES assisted radical nephrectomy is a reproducible and feasible technique that has to be kept in mind for women who are candidates to nephrectomy for renal cancer.

Primera nefrectomía transvaginal híbrida por cáncer renal / First report on hybrid transvaginal nephrectomy for renal cancer

La cirugía NOTES (Natural Orifice Transluminal Endoscopic Surgery) es una modalidad quirúrgica que utiliza las vísceras huecas para acceder a la cavidad peritoneal, evitando así incisiones en la piel. Si combinamos este tipo de cirugía con la laparoscopia convencional, obtenemos una técnica híbrida que nos permitirá abordar órganos grandes, como el riñón, disminuyendo al máximo las incisiones cutáneas. Presentamos el primer caso de nefrectomía radical híbrida transvaginal por cáncer renal. Para poder realizar este procedimiento, se utilizó el acceso vaginal para la colocación de una cámara deflectable y la asistencia de dos puertos abdominales. La incisión del trócar vaginal se amplió para la extracción de la pieza quirúrgica. La nefrectomía híbrida transvaginal NOTES asistida debe considerarse, una técnica quirúrgica factible y reproducible que debe ser considerada como opción terapéutica en pacientes mujeres candidatas a nefrectomía por cáncer renal (AU)

NOTES (Natural Orifice Transluminal Endoscopic Surgery) is a surgical modality that uses empty organs as an access to the peritoneal cavity, avoiding skin incisions. If we combine this surgery with the classical laparoscopic approach, a new hybrid technique is obtained. This approach will permit us to work on wide operating fields with large organs, as the kidney, minimizing skin incisions. We present the first hybrid transvaginal radical nephrectomy due to renal cancer. In order to perform this procedure, we used a vaginal access for introduction of a deflectable camera and the assistance of two additional abdominal trocars. The vaginal incision for the trocar was enlarged for organ removal. Hybrid transvaginally NOTES assisted radical nephrectomy is a reproducible and feasible technique that has to be kept in mind for women who are candidates to nephrectomy for renal cancer (AU)