Vnotes Cancer Lymph

Uterine Cancer Surgery and Lymph Node Dissection with vNOTES – Patient Information

What is Uterine Cancer Surgery with vNOTES?

Uterine cancer surgery using the vNOTES method is a minimally invasive surgical procedure performed by entering through the vaginal route without making an incision in the abdomen. It is applied in suitable patients.

In Which Patients Can It Be Applied?

• Early-stage uterine (endometrial) cancer
• Low-risk patients
• Cases deemed suitable by the surgeon

Contents of the Surgery

• Removal of the uterus (hysterectomy)
• Removal of fallopian tubes and ovaries
• Removal of lymph nodes, if necessary

What is Lymph Node Dissection?

Lymph nodes in the pelvis and/or para-aortic region may be removed to assess cancer spread.

How Is It Performed?

• Entry is made through the vaginal route with special instruments
• The abdominal cavity is visualized with a camera
• The uterus and necessary tissues are removed
• Lymph nodes are carefully dissected

Advantages

• No abdominal incision (scarless surgery)
• Less pain
• Faster recovery
• Shorter hospital stay

Surgery Duration

It generally lasts between 1–3 hours and is performed under general anesthesia.

Who Is Not Suitable?

• Advanced-stage cancer
• Widespread intra-abdominal spread
• Cases deemed unsuitable by the surgeon

After Surgery

• 1–2 days hospital stay
• Rapid return to daily life
• Additional treatment may be planned based on pathology results

Possible Risks

• Bleeding
• Infection
• Lymph fluid accumulation (lymphocele)
• Injury to adjacent organs (rare)

Important Information

vNOTES is not suitable for every cancer patient. The treatment plan is determined individually.

Conclusion

Uterine cancer surgery with vNOTES is a safe and comfortable option for suitable patients.