Background: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a new approach that allows abdominal surgery to be performed through a natural orifice such as the oral cavity, vagina or rectum. We present our preliminary experience of laparoscopic assisted transvaginal cholecystectomy (LATC). Methods: Women affected by cholelithiasis, age below 65 years, BMI under 30, ASA I or II, previous pregnancies, and without previous abdominal surgery underwent LATC. Patients’ biographic data, operative time, intra operative and post operative complications were collected. Results: We performed 21 LATCs. Median operative time was 58 min. There were no intraoperative complications. The post operative course was uneventful in all patients. At 1 year there were no complications and no impaired sexual activity. Conclusions: The results of NOTES are promising, but nowadays only hybrid NOTES can be safely performed. LATC seems to guarantee better cosmetic results, lower postoperative pain, faster mobilization and shorter hospitalization than laparoscopic cholecystectomy.
Laparoscopic assisted transvaginal cholecystectomy: Single centre preliminary experience / Brescia, Antonio; Masoni, Luigi; Gasparrini, M; Nigri, Giuseppe; Cosenza, Um; Dall'Oglio, A; Pancaldi, A; Mari, Francesco Saverio. - In: SURGEON. - ISSN 1479-666X. - STAMPA. - (2013). [10.1016/j.surge.2012.09.003]
Laparoscopic assisted transvaginal cholecystectomy: Single centre preliminary experience
BRESCIA, Antonio;MASONI, Luigi;NIGRI, Giuseppe;MARI, Francesco Saverio
2013
Abstract
Background: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is a new approach that allows abdominal surgery to be performed through a natural orifice such as the oral cavity, vagina or rectum. We present our preliminary experience of laparoscopic assisted transvaginal cholecystectomy (LATC). Methods: Women affected by cholelithiasis, age below 65 years, BMI under 30, ASA I or II, previous pregnancies, and without previous abdominal surgery underwent LATC. Patients’ biographic data, operative time, intra operative and post operative complications were collected. Results: We performed 21 LATCs. Median operative time was 58 min. There were no intraoperative complications. The post operative course was uneventful in all patients. At 1 year there were no complications and no impaired sexual activity. Conclusions: The results of NOTES are promising, but nowadays only hybrid NOTES can be safely performed. LATC seems to guarantee better cosmetic results, lower postoperative pain, faster mobilization and shorter hospitalization than laparoscopic cholecystectomy.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.