Abstract:
BACKGROUND AND STUDY AIMS:Extensive research has been conducted to develop natural-orifice transluminal endoscopic surgery (NOTES) as a new approach to less invasive surgery. Our aim is to present the technique and initial prospective results of a transvaginal video-assisted laparoscopic approach to NOTES cholecystectomy in order to perform minimally invasive surgery without visible scars. PATIENTS AND METHODS:From July 2007 to March 2008, 32 women underwent transvaginal video-assisted laparoscopic cholecystectomy using a transvaginal 10-mm 45 degrees rigid bariatric optic through a 12-mm bariatric trocar and two abdominal trocars (2-mm and 5-mm). Data on the history, surgical time, complications, and recovery were recorded prospectively in each case. RESULTS:Mean age was 33 years (range 22 - 47 years); mean body mass index was 29 (range 20 - 42). Mean operative time was 38 minutes (range 18 - 50 minutes). Patients were discharged 6 hours after the procedure without the need for pain medication in the following days and returned to normal working activities within 24 hours of the procedure. CONCLUSIONS:Transvaginal video-assisted NOTES cholecystectomy seems to be an efficient and safe approach to minimally invasive surgery, providing patients with a comfortable recovery with virtually no abdominal scars as a bridge to exclusively NOTES procedures.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Ramos AC,Murakami A,Galvão Neto M,Galvão MS,Silva AC,Canseco EG,Moyses Ydoi
10.1055/s-2008-1077398subject
Has Abstractpub_date
2008-07-01 00:00:00pages
572-5issue
7eissn
0013-726Xissn
1438-8812journal_volume
40pub_type
杂志文章相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND STUDY AIMS:Most official training programs in colonoscopy recommend that trainees should carry out a minimum of 100 procedures, but limited data exist on the technical progress of trainees. The aim of our study was to estimate the number of supervised procedures required for obtaining competence in colon...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-1999-146
更新日期:1999-11-01 00:00:00
abstract::Background and aims Peroral endoscopic myotomy (POEM) is now an established treatment for esophageal achalasia. The standard protocol ensures a smooth operation in most patients, but technical challenges and failures exist and little is known about the incidence, causes, and impact of aborted procedures. Here, using a...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0043-113440
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Dieulafoy's lesion is usually considered to be a rare cause of gastrointestinal bleeding and little information is available about the long-term follow-up of this condition. We studied the clinical pattern and long-term outcome in patients with Dieulafoy's lesion who were managed in a gastroin...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2004-814322
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:As a bowel cleansing agent for colonoscopy, sodium phosphate (NaP) has been reported to have equal effectiveness and better patient tolerance in comparison with 4 l polyethylene glycol-electrolyte lavage (PEG-EL) solution. Poor patient tolerance is frequently associated with a large amount of ...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2002-33207
更新日期:2002-07-01 00:00:00
abstract::In a prospective study, all patients with peptic ulcer bleeding were documented between February 1984 and April 1992. A total of 227 patients were treated by local injection of epinephrine followed by laser application and injection of polidocanol or fibrin tissue adhesive. In five of these patients, intramural hemato...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1009050
更新日期:1994-09-01 00:00:00
abstract::Endoscopic therapies for the treatment of complicated Barret's esophagus should be embraced by the surgical community. While esophagectomy remains the standard of care for early esophageal neoplasia in many centers, endoscopic techniques are being increasingly utilizid. As refinements in both endoscopic and surgical a...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2008-1077783
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND AND AIMS:Polyp miss-rate is a drawback of colonoscopy that increases significantly for small polyps. We explored the efficacy of an automatic computer-vision method for polyp detection. METHODS:Our method relies on a model that defines polyp boundaries as valleys of image intensity. Valley information is in...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-108434
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The value of methylene blue-directed biopsies (MBDB) in detecting specialized intestinal metaplasia and dysplasia in Barrett's esophagus remains unclear. The aim of this study was to compare the accuracy of MBDB with random biopsy in detecting intestinal metaplasia and dysplasia in patients wi...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2003-44599
更新日期:2003-12-01 00:00:00
abstract::An elderly patient with a postoperative biliocutaneous fistula, the persistence of which was due to an unrecognized fibro-malignant stricture of the distal common bile duct, was treated by the insertion of an endoscopic biliary endoprosthesis. Immediately after the procedure, bile discharge through the fistula ceased ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018224
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND: Upper gastrointestinal bleeding (UGIB) is a leading cause of morbidity and is associated with a 2 % - 17 % mortality rate in the UK and USA. Bleeding peptic ulcers account for 50 % of UGIB cases. Endoscopic intervention in a timely manner can improve outcomes. Hemostatic spray is an endoscopic hemostatic po...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1186-5360
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:To improve the prognosis of patients with unresectable, locally advanced bile duct carcinoma, new treatment strategies need to be evaluated. Hyperthermia has been successfully applied as part of multimodal therapy in esophageal and rectal carcinoma. We performed in-vitro and in-vivo experiment...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-7380
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Gastric mucosa may have several tiny patterns in portal hypertension. In this prospective study, we used magnifying endoscopy and scanning electron microscopy (SEM) to better characterize the morphology of gastric mucosa in patients with cirrhosis, and we evaluated the diagnostic accuracy of m...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2000-9019
更新日期:2000-08-01 00:00:00
abstract::The results presented here concern the study of in situ cancer and marked dysplasia revealed during the pathological study of 39 specimens removed during esophagogastrectomy for invasive carcinoma of the esophagus. In 12 cases, macroscopic study made it possible to define precisely the macroscopic features of in situ ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021710
更新日期:1980-03-01 00:00:00
abstract::Endoscopic ultrasonography (EUS) was evaluated in the diagnosis of carcinoma of the papilla of Vater. Thirteen cases of carcinoma of the papilla examined by EUS were investigated with the aim of assessing the detection capability of EUS in comparison with other diagnostic tools, and its usefulness in diagnosing the ex...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018179
更新日期:1988-08-01 00:00:00
abstract::Endoscopic Doppler ultrasound enables the reliable identification of vessels in the base of gastroduodenal ulcers. In a prospective study including 114 patients with acute ulcer bleeding, pulsed Doppler ultrasound was able to demonstrate superficial blood vessels in the ulcer base in 62% of 106 cases where complete Do...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1010296
更新日期:1993-03-01 00:00:00
abstract::Background and study aims: Gastric reflux into the remnant esophagus after subtotal or partial esophagectomy is associated with impairment in patient quality of life. We evaluated the feasibility, safety, and potential effectiveness of a novel procedure using a new endoscopic suturing device to create an anti-reflux v...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-112572
更新日期:2016-12-01 00:00:00
abstract::We have developed a new endoscopic system for measuring the three-dimensional structure of the gastric ulcer. The system consists of an argon ion laser generator, a side-viewing endoscope with diffraction grating made of glass fibers, and a graphic processing unit. Via a fiber grating fitted in the tip of the endoscop...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018189
更新日期:1988-09-01 00:00:00
abstract::Esophageal lesions are rarely seen in patients with intestinal Behçet's disease. Three patients with esophageal lesions (dissection of esophageal mucosa, esophageal ulcer, esophageal varices) were observed among 15 patients with intestinal Behçet's disease or non-specific simple ulcer (1974-1984). Two-thirds of these ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018328
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Computed-tomographic (CT) colonography has been introduced as a minimally invasive colon examination for the detection of colorectal neoplasms. The aim of this study was to compare the performance characteristics of multidetector-array CT colonography (MDCTC) and conventional colonoscopy in a ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2003-41584
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Capsule endoscopy is already an established diagnostic tool, and the newly introduced capsule PillCam COLON is now entering clinical studies. Because of the very limited clinical experience in patients with implantable cardioverter-defibrillators (ICDs), it is generally recommended that capsul...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0029-1214610
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:During endoscopic retrograde cholangiopancreatography (ERCP), a guidewire is used to cannulate biliary strictures and allow for therapeutic interventions. The aim of this study was to assess the success of stricture cannulation using a combination of a flexible guidewire and a stable nitinol w...
journal_title:Endoscopy
pub_type: 杂志文章,随机对照试验
doi:10.1055/s-0034-1377628
更新日期:2014-10-01 00:00:00
abstract::Eighty-eight endoscopists (mean age 41 years, range 29-76 years) and a control group of 100 persons of similar ages were investigated for the prevalence of antibodies (ABs) to Helicobacter pylori, using a quantitative enzyme-linked immunosorbent assay (ELISA) to IgG, two semiquantitative ELISAs to IgG and IgA, and a l...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1009067
更新日期:1994-10-01 00:00:00
abstract::One of the accepted complications of colonoscopy is perforation. This is known to occur in greater frequency in patients having undergone previous pelvic or colonic surgery, as well as patients suffering from diverticulosis. A case is presented of colonic perforation during diagnostic examination in an area of adhesio...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098368
更新日期:1976-02-01 00:00:00
abstract::BACKGROUND : Use of a side-viewing endoscope is currently mandatory to examine the major duodenal papilla; however, previous studies have used cap-assisted endoscopy for complete examination of the papilla. The aim of this study was to compare cap-assisted endoscopy with side-viewing endoscopy for examination of the m...
journal_title:Endoscopy
pub_type: 杂志文章,随机对照试验
doi:10.1055/a-0662-5445
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:In endoscopic nasobiliary drainage (ENBD), repositioning the catheter from the mouth to the nose is complicated. We devised a method using catheters with magnets and verified its utility and safety. PATIENTS AND METHODS:We prospectively enrolled 20 patients undergoing ENBD at Yokohama City Un...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0033-1344330
更新日期:2013-10-01 00:00:00
abstract::Background and study aims: To avoid bacterial contamination and tumor seeding during gastrectomy surgery, we developed a nonexposure technique for endoscopic full-thickness resection with laparoscopic assistance. The feasibility and safety of nonexposed endoscopic wall-inversion surgery (NEWS) for gastric subepithelia...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0042-111000
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:According to the Japanese Esophageal Society (JES) guidelines, early esophageal squamous cell carcinoma (SCC) involving the muscularis mucosae (M3) or upper submucosal (SM1) layers are relative indications for endoscopic submucosal dissection (ESD). Additional esophagectomy or chemoradiotherapy is recommende...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-0577-2560
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:To evaluate the accuracy, safety, and clinical utility of endoscopic ultrasound (EUS) guided fine needle aspiration (FNA) of pancreatic masses. METHODS:Forty-seven patients were referred for EUS with a pancreatic mass and suspicion of pancreatic cancer based upon painless obstructive jaundice, epigastric abdom...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1004321
更新日期:1997-11-01 00:00:00
abstract::The European Society of Gastrointestinal Endoscopy (ESGE) together with the United European Gastroenterology (UEG) recently developed a short list of performance measures for small-bowel endoscopy (i. e. small-bowel capsule endoscopy and device-assisted enteroscopy) with the final goal of providing endoscopy services ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-0889-9586
更新日期:2019-06-01 00:00:00
abstract::Endoscopic ultrasonography (EUS) is currently considered the best available technique for the local staging of esophageal cancer. In a prospective study 11 patients with esophageal squamous cell carcinoma were investigated to evaluate the usefulness of EUS in the assessment of response to induction chemotherapy. Respo...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1010411
更新日期:1993-11-01 00:00:00