Less pain after transvaginal/transumbilical cholecystectomy than after the classical laparoscopic technique: short-term results of a matched-cohort study

Abstract

The findings show that TVC is a safe procedure for female patients. It has a risk comparable with that of classic LC, causes significantly less pain in the early postoperative period, and leads to a significantly shorter hospital stay. Prospective randomized trials are necessary to confirm these results.

Natural orifice transluminal endoscopic surgery (hybrid) cholecystectomy: The Dhillon technique

“…and Brescia et al . [712] Brescia et al . evaluated the laparoscopic assisted TVC in 21 cases and reported very good cosmetic results, less post-operative pain, faster mobilisation and short hospital stay.…”

“…carried out a matched-cohort study comparing 50 hybrid cholecystectomy and 50 classical laparoscopic cholecystectomy. [7] The authors observed that cases with hybrid NOTES had a significant less pain in early post-operative period with shorter hospital stay compared to standard technique. [712] Bulian et al .…”

“…evaluated role of NOTES in cholecystectomy and reported decrease in pain scale and post-operative hospital stay compared to classical laparoscopic technique. [7] In the present prospective report, we present our experience of hybrid technique, that is, laparoscopic assisted TVC.…”

Transvaginale/transumbilikale Hybrid-NOTES-Appendektomie

“…Im Rahmen einer vergleichenden Kohortenanalyse konnten wir anhand unserer ersten 50 Hybrid-NOTES-Cholezystektomien einen Vorteil gegenüber der traditionellen laparoskopischen Technik hinsichtlich geringerer postoperativen Schmerzen in den ersten 2 Tagen feststellen [7]. Bei der Analyse der gleichen Kollektive fand sich zudem im Langzeit-Follow-up kein Nachteil bezüglich der weiblichen Sexualfunktion [6], sodass wir die Technik auf die Appendektomie übertru-gen und diese weiblichen Patienten bei entsprechender Indikation seit Mai 2012 anboten.…”

Cholecystectomy: evolution of laparoscopic approach

“…Операционное время и часто-та осложнений были сходны в обеих группах. Срок пребывания пациентов в стационаре после TVC по сравнению с ТЛХЭ был более коротким -2,7/3,4 (р=0,035) дня [59]. В других работах результаты не показали превосходство TVC над ТЛХЭ в отноше-нии послеоперационной боли [83,226].…”