New Hybrid Approach for NOTES Transvaginal Cholecystectomy: Preliminary Clinical Experience

Abstract

Transvaginal NOTES is a feasible and safe alternative for cholecystectomy in this preliminary clinical experience, allowing good cosmetic benefits and low analgesic requirement.

Transvaginal-hybrid vs. single-port-access vs. ‘conventional’ laparoscopic cholecystectomy: a prospective observational study

“…Results of the observational study presented here show no difference in operative time among the evaluated procedures and are in accordance with other published data [4,9,12,15,16]. Some authors even reported significantly longer operative times with the new procedures [2,7,10,11,14,17]. Shorter times have been reported, especially for transvaginal cholecystectomy [13,18].…”

“…The first prospective randomised study of single-port cholecystectomy in 40 patients was published this year, but it was only double armed [17]. Most of the published data are feasibility studies, retrospective data analyses, 'how we do it' manuscripts or limited two-armed prospective data collections [1,3,4,7,9,10,[12][13][14][15][16][18][19][20]. Up to now, no prospective three-armed study comparing 'conventional' laparoscopic, single-incision and transvaginal cholecystectomy has been published.…”

“…More than 150 publications in the last 5 years have dealt with transvaginal cholecystectomy, mainly performed as part of a hybrid technique (namely, with an additional route of transabdominal laparoscopic access) as well as with single-incision cholecystectomies [1,3,4,[9][10][11][12][13][14][15][16][17][18].…”

NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance

“…Marescaux [3]. Since then, transvaginal access has become the preferred route for NOTES procedures with the international experience now numbering several hundred cases performed, including cholecystectomy, nephrectomy, sleeve gastrectomy, and segmental colon resection [4][5][6][7][8][9]. The major limitation of the approach is that it can only be performed in women.…”

Cirurgia por orifícios naturais transcolônica: acesso NOTES peri-retal (PNA) para excisão mesoretal total

“…Publicações recentes e apresentações em eventos científicos desde 2007 descreveram as aplicações clínicas iniciais do novo método, após aprovação [14][15][16][17] , outros grupos seguiram e publicaram seus resultados clínicos iniciais das técnicas, na maior parte com assistencia laparoscópica para propósito de retração ou visualização [18][19][20][21][22][23][24][25][26][27][28] . Apendicectomia transgástrica foi também apresentada clinicamente em congressos por Rao e Reddy utilizando material endoscópico disponível desde 2005 29 , e recuperação bem-sucedida de gastrostomia foi descrita por Marks e cols 30 .…”