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.
2013
01 Pubblicazione su rivista::01a Articolo in rivista
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]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/494840
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 7
  • ???jsp.display-item.citation.isi??? ND
social impact