Hybrid Transvaginal Cholecystectomy, NOTES, and Minilaparoscopy: Analysis of a Prospective Clinical Series

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2009 Jan 2

PMID 19118420

Citations 21

Authors

Jose Noguera

Carlos Dolz

Angel Cuadrado

Jose Olea

Angels Vilella

Rafael Morales

Affiliations

Soon will be listed here.

Abstract

Introduction: Natural orifice transluminal endoscopic surgery (NOTES) makes it possible to perform intraperitoneal surgical procedures with a minimal number of access points in the abdominal wall. It is not yet possible to perform these interventions without the help of abdominal wall entryways, so these procedures are hybrids, a fusion of minilaparoscopy and transluminal endoscopic surgery. In this paper we present a prospective clinical series of 15 patients who underwent transvaginal hybrid cholecystectomy for cholelithiasis.

Methods: This was a prospective clinical series of 15 consecutive female patients, nonrandomly chosen and without a control group, who underwent a fusion transvaginal NOTES and minilaparoscopy procedure with two entryways for cholelithiasis. One was umbilical and measured 5 mm in diameter, and the other was in the right upper quadrant and measured 3 mm in diameter.

Results: The scheduled surgical intervention was performed on the 15 patients in whom it had been indicated. There were no intraoperative complications. One patient had mild hematuria that resolved in less than 12 h; there were no other complications after average follow-up of 124 days. Nine patients were discharged in 24 h, and two were discharged less than 12 h after the procedure.

Discussion: Hybrid transvaginal cholecystectomy is a good surgical model for minimally invasive surgery, a combination of NOTES and minilaparoscopy. It can be performed in surgical settings where laparoscopy is practised regularly, using the instruments normally used for endoscopy and laparoscopic surgery. Owing to the reproducibility of the intervention and the ease of vaginal closure, hybrid transvaginal cholecystectomy will permit further development of NOTES in the future.

Citing Articles

An Observational Study Comparing Hybrid Transvaginal Notes and Four-Port Laparoscopic Cholecystectomy.

Ansari A, Kaushal G, Dhillon K Cureus. 2023; 15(1):e33589.

PMID: 36779164 PMC: 9910032. DOI: 10.7759/cureus.33589.

Intraoperative cardiovascular response of natural orifice transluminal endoscopic surgery versus laparoscopy: A comparative animal study.

Patrascu S, Copaescu C, Surlin V, Ramboiu S, Dragoescu A, Stanilescu S J Minim Access Surg. 2018; 14(4):316-320.

PMID: 29319013 PMC: 6130180. DOI: 10.4103/jmas.JMAS_121_17.

Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery.

Komorowski A, Alba Mesa F, Bala M, Mitus J, Wysocki W Indian J Surg. 2016; 77(Suppl 3):853-62.

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Prospective, randomized clinical trial comparing the use of a single-port device with that of a flexible endoscope with no other device for transumbilical cholecystectomy: LLATZER-FSIS pilot study.

Noguera J, Tejada S, Tortajada C, Sanchez A, Munoz J Surg Endosc. 2013; 27(11):4284-90.

PMID: 23812286 DOI: 10.1007/s00464-013-3044-y.

NOTES transvaginal hybrid cholecystectomy: the United States human experience.

Nijhawan S, Barajas-Gamboa J, Majid S, Jacobsen G, Sedrak M, Sandler B Surg Endosc. 2012; 27(2):514-7.

PMID: 22806528 DOI: 10.1007/s00464-012-2470-6.

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