NOTES transvaginal video-assisted cholecystectomy: first series.

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

Endoscopy

journal_title

Endoscopy

authors

Ramos AC,Murakami A,Galvão Neto M,Galvão MS,Silva AC,Canseco EG,Moyses Y

doi

10.1055/s-2008-1077398

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

572-5

issue

7

eissn

0013-726X

issn

1438-8812

journal_volume

40

pub_type

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