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Volume 68, Issue 2, Pages 302-310 (August 2015)
Transvaginal Natural Orifice Transluminal Endoscopic Nephrectomy in a Series of 63 Cases: Stepwise Transition From Hybrid to Pure NOTES Yijun Xue, Xiaofeng Zou, Guoxi Zhang, Yuanhu Yuan, Rihai Xiao, Yunfeng Liao, Xin Zhong, Bo Jiang, Ruiquan Xu, Yuhua Zou, Gang Xu, Kunlin Xie, Xu Zhang European Urology Volume 68, Issue 2, Pages (August 2015) DOI: /j.eururo Copyright © 2015 European Association of Urology Terms and Conditions
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Fig. 1 Patient and trocar placement for the initial 33 cases of hybrid transvaginal natural orifice transluminal endoscopic nephrectomy. European Urology , DOI: ( /j.eururo ) Copyright © 2015 European Association of Urology Terms and Conditions
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Fig. 2 Patient and trocar placement for the subsequent 25 cases of hybrid transvaginal natural orifice transluminal endoscopic nephrectomy. European Urology , DOI: ( /j.eururo ) Copyright © 2015 European Association of Urology Terms and Conditions
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Fig. 3 Diagrammatic representation of the use of extra-long prebent instruments during pure transvaginal natural orifice transluminal endoscopic nephrectomy. European Urology , DOI: ( /j.eururo ) Copyright © 2015 European Association of Urology Terms and Conditions
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Fig. 4 (A) Specimen extraction through the vagina. (B) Intact excised specimen shows the lower-pole tumour. (C) Three-month postoperative appearance of posterior colpotomy incision. (D) Three-month postoperative appearance of umbilical incision. European Urology , DOI: ( /j.eururo ) Copyright © 2015 European Association of Urology Terms and Conditions
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Fig. 5 (A) A flexible-tip 5.4-mm laparoscope. (B) Extra-long flexible and prebent instruments for pure transvaginal natural orifice transluminal endoscopic nephrectomy. European Urology , DOI: ( /j.eururo ) Copyright © 2015 European Association of Urology Terms and Conditions
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Fig. 6 (A) The self-developed three-channel ZOU-port. (B) Mock intraoperative view of the three-channel ZOU-port. European Urology , DOI: ( /j.eururo ) Copyright © 2015 European Association of Urology Terms and Conditions
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