О бме н о пыт ом Вопросы урологии и андрологии, 2016, том 4, №1, с. 62–65 Urology and Andrology, 2016, volume 4, No 1, p. 62–65 DOI: 10.20953/2307-6631-2016-1-62-65 An update on our technique and experience with transvaginal nephrectomy Wissam Kamal1 Theofanis Vrettos2 , Panagiotis Kallidonis1 , Christian Schwentner3 , Iason Kyriazis1 1Department of Urology, University of Patras, Patras, Greece; 2Department of Anesthesiology and ICU, University of Patras, Patras, Greece; 3Department of Urology, University of Tьbingen, Tьbingen, Germany Objective. <...> To present the experience and technique with hybrid Natural Orifice Transluminal Endoscopic Surgery (NOTES) transvaginal nephrectomy for benign and malignant cases. <...> The procedure was performed by the use of multi-instrument ports or flexible cannulas inserted through umbilical and vaginal incisions. <...> Patient demographics, intraoperative and postoperative course were recorded and collected prospectively. <...> Average umbilical incision length was 2.6 cm (range 2.5–3.5 cm). <...> Estimated blood loss ranged between 50 and 150 mL (average, 80 mL). <...> Postoperatively, 2 patients required transfusions due to bleeding and 2 patients suffered from fever of unknown origin. <...> No disease recurrence was encountered during the follow up period. <...> The specially designed pre-bent extra-long instruments facilitate the performance of the procedure and allow the standardization of the surgical steps of the transvaginal hybrid NOTES nephrectomy. <...> Hybrid NOTES transvaginal nephrectomy is a feasible and safe alternative to standard laparoscopic nephrectomy for selected patients. <...> Keywords: multi-port, laparoscopic, laparoendoscopic, transvaginal, nephrectomy, single-port, NOTES Новый опыт и технические приемы в трансвагинальной нефрэктомии Виссам Камаль1 Теофанис Вреттос2 , Панагиотис Каллидонис1 , Кристиан Швентнер3 , Ясон Кириазис1 1Отделение урологии, Университет Патрас, Патры, Греция; 2Отделение анестезиологии и интерсивной терапии, Университет Патрас, Патры, Греция; 3Отделение урологии, Тюбингенский университет, Тюбинген, Германия Цель. <...> Ключевые слова: многопортовая, лапароскопическая, лапароэндоскопическая, трансвагинальная, нефрэктомия, однопортовая, NOTES Для корреспонденции: Evangelos Liatsikos, MD, PhD, Associate Professor, Department of Urology, University of Patras Medical School, Rion, 26 504, Patras, Greece e-mail: liatsikos@yahoo.com The article was <...>