Completely transvaginal NOTES cholecystectomy using magnetically anchored instruments

Scott, Daniel J.; Tang, Shou Jiang; Fernández, Raúl; Bergs, Richard; Goova, Mouza T.; Zeltser, Ilia S.; Kehdy, Farid; Cadeddu, Jeffrey A.

doi:10.1007/s00464-007-9498-z

Cited by 184 publications

(136 citation statements)

References 24 publications

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“…In all cases, except one [16], at least one transparietal access was necessary to perform the cholecystectomy [13][14][15][16]. In this regard, umbilical SPA cholecystectomy is not more invasive than NOTES because it does not involve an additional translumenal access [28,29].…”

Section: Discussionmentioning

confidence: 97%

Single Port Access Laparoscopic Cholecystectomy (with video)

et al. 2008

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Background Single port access (SPA) surgery is a rapidly evolving field due to the complexity of NOTES (natural orifice translumenal endoscopic surgery). SPA combines the cosmetic advantage of NOTES and possibility to perform surgical procedure with standard laparoscopic instruments. We report a technique of umbilical SPA cholecystectomy using standard laparoscopic instruments and complying with conventional surgical principle and technique of minimally invasive cholecystectomy. Methods Preliminary, prospective experience of SPA cholecystectomy in 11 patients (median age, 46 (range, 27-63) years) scheduled for cholecystectomy was evaluated. Diagnoses for cholecystectomy were: symptomatic gallbladder lithiasis (n = 7), previous acute cholecystitis (n = 3), and biliary pancreatitis (n = 1). Results SPA cholecystectomy was feasible in all patients (median body mass index, 24 (range, 20-34) kg/m 2 ) who were scheduled for preliminary experience using conventional laparoscopic instruments. Median operative time was 52 (range, 40-77) minutes. Intraoperative cholangiography was performed in all patients, except one, and was considered normal. No peroperative or postoperative complications were recorded. Median hospital stay was less than 24 h.Conclusions SPA cholecystectomy is feasible and seems to be safe when performed by experienced laparoscopic surgeons using standard laparoscopic instrumentation. SPA cholecystectomy may be safer than the NOTES approach at this time. It has to be determined whether this approach would benefit patients, other than cosmesis, compared with standard laparoscopic cholecystectomy.

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Section: Discussionmentioning

confidence: 97%

Single Port Access Laparoscopic Cholecystectomy (with video)

et al. 2008

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“…Scott's [32] group maintained the traction of the vesicular background with magnets in animals, avoiding the placement of a gateway in the abdominal wall. All these developments are being validated in animal and pilot clinical experiences, with the intention to perform pure NOTES procedures as soon as possible, equipped with the necessary clinical safety.…”

Section: Appearance and Development Of Notesmentioning

confidence: 99%

NOTES, MANOS, SILS and other new laparoendoscopic techniques

Noguera¹,

Cuadrado²

2012

WJGE

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A new way of opening a body cavity can be a revolution in surgery. In 1980s, laparoscopy changed how surgeons had been working for years. Natural orifice translumenal endoscopic surgery (NOTES), minilaparoscopy-assisted natural orifice surgery (MANOS), single incision laparoscopic surgery (SILS) and other new techniques are the new paradigm in our way of operating in the 21 st century. The development of these techniques began in the late 90s but they have not had enough impact to develop and evolve. Parallels between the first years of laparoscopy and NOTES can be made. Working for an invisible surgery, not only for cosmesis but for a less invasive surgery, is the target of NOTES, MANOS and SILS performed by surgeons and endoscopists over the last 10 years. The future flexible endoscopic platforms and the fusion between laparoscopic instruments and devices and robotic surgery will be a great advance for "scarless surgery".

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“…The gall bladder was separated from the liver using an endoscopic grasper and a monopolar electrode with a round tip. (Scott et al 2007) described transvaginal cholecystectomy. Multiple instruments forming a magnetic anchoring and guidance system (MAGS) were used.…”

Section: Cholecystectomymentioning

confidence: 99%