Comparison of short-term outcomes between transvaginal hybrid NOTES cholecystectomy and laparoscopic cholecystectomy

Abstract

This series adds to the existing evidence that transvaginal hybrid NOTES cholecystectomy using a flexible endoscope for dissection is a technically feasible and safe procedure. TVC requires a longer operative time than LC but may result in less pain in the immediate postoperative period with patients subsequently requiring fewer narcotics.

Surgical innovation: From laparoscopy to natural orifice translumenal endoscopic surgery

“…Two institutions completed studies comparing the outcomes of the TV methodology to classic laparoscopy. 34,38 Mirroring the findings of the international investigations, the only significant difference between the two approaches was operative time. It should be noted that a prospective multicenter trial (sponsored by the Natural Orifice Surgery Consortium for Assessment and Research) comparing a NOTES cholecystectomy to a classic laparoscopic cholecystectomy (www.ClinicalTrials.gov Identifier NCT01171027) is currently underway.…”

Cholecystectomy: evolution of laparoscopic approach

“…Выявле-на прямая положительная корреляционная связь между дооперационными и послеоперационными показателями. Статистически значимых различий показателей качества жизни у пациентов после перенесенной гибридной NOTES ХЭ и ТЛХЭ не определено [46,197]. M. Lirici и соавт.…”

Transvaginal Hybrid NOTES Cholecystectomy: Current Techniques and Advantages

“…Several groups have attempted to standardize patient selection criteria for THNC in order to achieve safe and effective clinical outcomes [4,14,18,36,37]. However, there is not an official consensus defining these criteria.…”

“…This concept was initially designed to access the abdominal cavity through different natural orifices such as the mouth, vagina, anus, and urethra [9,18,19]. In addition, several studies have shown applications in intrathoracic procedures including mediastinoscopy, thoracoscopy, and lymph node dissection [14,19,20].…”