INTRODUCTION: Surgery of the gallbladder has evolved tremendously over the last century. Laparoscopic cholecystectomy is the gold standard for gallbladder removal and the most common laparoscopic procedure worldwide. In recent times, innovative techniques of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS) have been applied in gallbladder removal as a step towards even more less-invasive procedures. DISCUSSION: While NOTES and SILS represent the advent of essentially scarless surgery, limited applications of these technologies in human subjects exists. In this article, we present a comprehensive review of the potential benefits, limitations and risks of these novel techniques. CONCLUSION: While much remains unknown and unanswered surrounding these procedures, it is clear that extensive research and development with regards to the ethics and the technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential.
INTRODUCTION: Surgery of the gallbladder has evolved tremendously over the last century. Laparoscopic cholecystectomy is the gold standard for gallbladder removal and the most common laparoscopic procedure worldwide. In recent times, innovative techniques of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS) have been applied in gallbladder removal as a step towards even more less-invasive procedures. DISCUSSION: While NOTES and SILS represent the advent of essentially scarless surgery, limited applications of these technologies in human subjects exists. In this article, we present a comprehensive review of the potential benefits, limitations and risks of these novel techniques. CONCLUSION: While much remains unknown and unanswered surrounding these procedures, it is clear that extensive research and development with regards to the ethics and the technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential.
Authors: Sharona B Ross; Jonathan M Hernandez; Steffanie Sperry; Connor A Morton; Michelle Vice; Kenneth Luberice; Alexander S Rosemurgy Journal: J Gastrointest Surg Date: 2011-12-09 Impact factor: 3.452
Authors: Cori-Ann M Hirai; Daniel Murariu; Matthew D Cooper; Andrew J Oishi; Steven D Nishida; Cedric Sf Lorenzo; Racquel S Bueno Journal: Hawaii J Med Public Health Date: 2013-12
Authors: Philippe Hauters; Sylvain Auvray; Jean Luc Cardin; Marc Papillon; Jean Delaby; André Dabrowski; Dominique Framery; Alain Valverde; Raphaël Rubay; Frank Siriser; Philippe Malvaux; Jacques Landenne Journal: Surg Endosc Date: 2012-12-07 Impact factor: 4.584