Transvaginal laparoscopically assisted endoscopic cholecystectomy: preliminary clinical results for a series of 43 cases in China

Ni, Jun; Song, Wei; Yan, Ming; Fan, Wei; Niu, Weibo; Liu, Enyu; Peng, Cheng; Lin, Peng; Khan, Abdul Qadir

doi:10.1007/s00464-010-1360-z

Cited by 38 publications

(40 citation statements)

References 17 publications

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“…Many surgical interventions have been shown to be feasible using transvaginal access. Cholecystectomy and appendectomy are being performed in many centers [20,24,38]. Other, less frequently performed interventions include partial colectomy, nephrectomy, gastrectomy, hepatectomy, pancreatectomy, and gynecologic procedures [9,25,26,34,39,40].…”

Section: Discussionmentioning

confidence: 99%

Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

Komorowski

Mesa²,

Bała

et al. 2014

Indian J Surg

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Transvaginal access is the most popular natural orifice translumenal technique in the minimally invasive surgery. Reviews on non-gynecological transvaginal approach morbidities reveal that rates vary greatly. A systematic review of transvaginal approach in non-gynecological intraabdominal procedures was carried out to assess the risk of complications. A systematic search was conducted using MEDLINE, EMBASE, PubMed, and the Cochrane Library from the inception of these databases to March 2012. The following keywords were searched: "transvaginal", "NOTES", "single incision", and "single port". From the total of 231 potentially eligible abstracts, 87 papers were retrieved and evaluated as fulfilling the eligibility criteria. The final analysis included 32 articles. The overall complications rate was 4.4 %, and complications related to the transvaginal port reached 2.4 %. Conversion rate to open surgery was 3.4 %. The incidence of postoperative urinary tract infection was 0.8 %. The mean operative time was 119 min. The mean hospital stay was 3.1 days (range 6 h-12 days). The technique of transvaginal access can offer several advantages for a patient and is associated with an acceptable rate of complications.

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Section: Discussionmentioning

confidence: 99%

Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

Komorowski

Mesa²,

Bała

et al. 2014

Indian J Surg

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“…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.…”

Section: Patient Selection (Preoperative Evaluation)mentioning

confidence: 99%

“…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].…”

Section: Introductionmentioning

confidence: 99%

Transvaginal Hybrid NOTES Cholecystectomy: Current Techniques and Advantages

Barajas‐Gamboa

Jacobsen

2013

Curr Surg Rep

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Laparoscopic cholecystectomy has proven to be a safe and effective procedure, with low rates of complications and mortality since its introduction in the late 1980s. However, surgeons have been working to develop alternatives to this technique to improve clinical outcomes and the level of patient satisfaction. Natural orifice transluminal endoscopic surgery (NOTES) is one such alternative. NOTES has potential benefits compared to conventional laparoscopic and open surgery, including reduced abdominal wall trauma and trocar site complications, lower infection rates, less postoperative pain, decreased hospital stays, and excellent cosmetic results. Transvaginal hybrid NOTES cholecystectomy is the most common NOTES procedure performed. The objective of this article is to review this surgical technique and its clinical outcomes based on the current scientific evidence available in the literature.

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“…"Natural orifice specimen extraction" (NOSE) techniques that are similar to NOTES have been attempted in recent years. Transvaginal specimen extraction (TVSE), one of these techniques, has been attempted mainly in Europe and the USA, and it is claimed to have the advantages of reducing surgical wound pain, reducing wound complications, shortening the period of hospitalization, and ensuring excellent esthetic outcomes [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Widespread experience with laparoscopic pancreatectomies has allowed safe splenectomies in the supine position, by a safe and even less invasive surgical method using TVSE without the changing of body positions as required in conventional laparoscopic splenectomy [5][6][7][8][9][10]. The present surgical procedure was performed after obtaining approval from the Japanese Meabashi Red Cross hospital ethical committee.…”

Section: Introductionmentioning

confidence: 99%

A Case of Splenic Metastasis of Ovarian Cancer Treated with Complete Laparoscopic Splenectomy and Transvaginal Specimen Extraction

et al. 2016

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A 61-year-old woman was diagnosed with right inguinal lymph node and splenic metastasis of ovarian serous cystadenocarcinoma. We performed right inguinal lymph node dissection and total laparoscopic splenectomy in the supine position followed by transvaginal specimen extraction (TVSE). First, using three ports, we extracted the right inguinal lymph node. We repaired the posterior wall of the inguinal canal using a mesh plug. We added two ports and displaced the spleen from the retroperitoneum and lifted it using a snake retractor, disconnecting the hilum using an automatic suturing device. Next, the posterior wall of the vagina was intraperitoneally incised. And an Alexis® laparoscopic system was inserted into the vagina. The cap maintained aeroperitoneum, a collection bag was inserted in the abdominal cavity via the vagina, and the spleen was collected. When the spleen was removed from the body, partial fragmentation of the organ was required in the bag. Organ fragmentation was performed only within the bag, and we made sure not to tear the bag. The vaginal wound was laparoscopically sutured. The patient had no operative complications and was able to actively ambulate at the first day after surgery due to a slight postoperative pain. Total laparoscopic splenectomy with TVSE in the supine position may be a safe and feasible method for selected female patients. This technique enables minimally invasive surgery for female patients with splenic disease.

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Transvaginal laparoscopically assisted endoscopic cholecystectomy: preliminary clinical results for a series of 43 cases in China

Cited by 38 publications

References 17 publications

Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

Transvaginal Hybrid NOTES Cholecystectomy: Current Techniques and Advantages

A Case of Splenic Metastasis of Ovarian Cancer Treated with Complete Laparoscopic Splenectomy and Transvaginal Specimen Extraction

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