BACKGROUND: Initial reports confirm the safety and feasibility of natural orifice transluminal eendoscopic surgery (NOTES) transvaginal hybrid cholecystectomy (TVC). Benefits of TVC include no visible scars, less pain, and shorter recovery. The authors describe a single surgeon's initial experience with TVC through his first 20 cases. METHOD: Under direct visualization from a 5-mm umbilical trochar, a 12-mm trocar, or in 2 cases a SILS port was introduced through the posterior vagina into the cul-de-sac. The gallbladder was visualized using an endoscope introduced through the vaginal port. Using extracorporeal stay sutures for retraction, the cystic duct and artery were dissected free, clipped, and divided. The gallbladder was then removed through the vaginal port. RESULTS: Twenty patients underwent a successful TVC. The average age was 34.9 years (21-55 years), average body mass index was 29.9 kg/m2 (18.3-38.1 kg/m2), and the mean operative time was 71.4 minutes (42-116 minutes). CONCLUSION: TVC is a safe, feasible, and attractive alternative to traditional 4-port laparoscopic cholecystectomy.
BACKGROUND: Initial reports confirm the safety and feasibility of natural orifice transluminal eendoscopic surgery (NOTES) transvaginal hybrid cholecystectomy (TVC). Benefits of TVC include no visible scars, less pain, and shorter recovery. The authors describe a single surgeon's initial experience with TVC through his first 20 cases. METHOD: Under direct visualization from a 5-mm umbilical trochar, a 12-mm trocar, or in 2 cases a SILS port was introduced through the posterior vagina into the cul-de-sac. The gallbladder was visualized using an endoscope introduced through the vaginal port. Using extracorporeal stay sutures for retraction, the cystic duct and artery were dissected free, clipped, and divided. The gallbladder was then removed through the vaginal port. RESULTS: Twenty patients underwent a successful TVC. The average age was 34.9 years (21-55 years), average body mass index was 29.9 kg/m2 (18.3-38.1 kg/m2), and the mean operative time was 71.4 minutes (42-116 minutes). CONCLUSION:TVC is a safe, feasible, and attractive alternative to traditional 4-port laparoscopic cholecystectomy.
Authors: Stephanie G Wood; Feng Dai; Susan Dabu-Bondoc; Hosni Mikhael; Nalini Vadivelu; Andrew Duffy; Kurt E Roberts Journal: Surg Endosc Date: 2014-10-08 Impact factor: 4.584
Authors: Andrzej L Komorowski; Francisco Alba Mesa; Małgorzata M Bała; Jerzy W Mituś; Wojciech M Wysocki Journal: Indian J Surg Date: 2014-02-05 Impact factor: 0.656
Authors: Stephanie G Wood; Susan Dabu-Bondoc; Feng Dai; Hosni Mikhael; Nalini Vadivelu; Kurt E Roberts Journal: Surg Endosc Date: 2014-04 Impact factor: 4.584
Authors: Andrew T Bates; Tracy Capes; Rachna Krishan; Vincent LaBombardi; Giuseppe Pipia; Brian P Jacob Journal: Surg Endosc Date: 2014-03 Impact factor: 4.584
Authors: Garth R Jacobsen; Juan S Barajas-Gamboa; Alisa M Coker; Joslin Cheverie; C Aitor Macias; Bryan J Sandler; Mark A Talamini; Santiago Horgan Journal: Surg Endosc Date: 2013-10-23 Impact factor: 4.584