Brief reportInitial experience with hybrid transvaginal cholecystectomy
Section snippets
Case report
Our team comprises general surgeons with experience in advanced laparoscopic surgery. One of the surgeons is also an endoscopist, and another has experience in gynecologic surgery.
The procedure was performed on a 22-year-old woman with symptomatic gallstones. The patient gave us informed consent to perform the surgery, and the procedure was previously approved by our hospital's ethical review board.
The patient was positioned in the dorsal lithotomy position with the legs in stirrups and the
Discussion
The first report of NOTES was published in 2004 when Kalloo et al2 performed a series of acute survival studies at Johns Hopkins University, which demonstrated the feasibility of performing transgastric liver biopsies. After this, other investigators demonstrated the safety of transgastric ligation of fallopian tubes,3 cholecystectomy,4 cholecystogastric anastomosis,4 gastrojejunostomy,5 partial hysterectomy with oophorectomy,6 splenectomy,7 and gastric reduction,8 all based on experimental
References (11)
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Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity
Gastrointest Endosc
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Peroral transgastric endoscopic ligation of fallopian tubes with long-term survival in a porcine model
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Experimental studies of transgastric gallbladder surgery: cholecystectomy and cholecystogastric anastomosis
Gastrointest Endosc
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Endoscopic gastrojejunostomy with survival in a porcine model
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Cited by (61)
Intramural and Transmural Endoscopy
2019, Clinical Gastrointestinal EndoscopySurgery via natural orifices in human beings: Yesterday, today, tomorrow
2012, American Journal of SurgeryCitation Excerpt :Studies reporting established extraperitoneal endoscopic procedures and those that did not traverse the luminal wall such as abscess or cyst drainage or debridement and transvaginal gynecologic procedures were not included because they are standard practice and are not considered NOTES procedures. The transvaginal approach for resection of the uterus has been used for a long time by gynecologists for hysterectomy, but as of late has been modified by laparoscopic surgeons for the extraction of numerous organs including the gallbladder, appendix, kidney, bladder, and colon.2–4 The vagina has gained the most popularity because it not only is readily accessible and easy to decontaminate but it also provides safe entry and simple closure.
Natural orifice transluminal endoscopic surgery: Looking beyond the gallbladder
2010, Gastrointestinal EndoscopyCurrent Status of Natural Orifice Translumenal Endoscopic Surgery (NOTES)
2010, Current Problems in SurgeryCitation Excerpt :There does not appear to be a risk to the patient's fertility in most series, since the transvaginal method of culdoscopy is also frequently indicated for pelvic investigation of infertility. NOTES transvaginal cholecystectomy human cases were achieved by different groups in early 2007.83-87 Zornig and colleagues performed transvaginal cholecystectomy using a combination of rigid laparoscopic transvaginal optic and retractor and a 5-mm umbilical port, using the latter to perform dissection and cutting.83
Gastric transmural pressure measurements in vivo: implications for natural orifice transluminal endoscopic surgery (NOTES)
2010, Gastrointestinal Endoscopy