2007
DOI: 10.1007/s00464-007-9366-x
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Transvesical thoracoscopy: A natural orifice translumenal endoscopic approach for thoracic surgery

Abstract: Background: Recently there has been an increasing enthusiasm for using natural orifices translumenal endoscopic surgery (NOTES) to perform scarless abdominal procedures. We have previously reported the feasibility and safety of the transvesical endoscopic peritoneoscopy in a long-term survival porcine model as useful for those purposes. Herein, we report our successful experience performing transvesical and transdiaphragmatic endoscopic approach to the thoracic cavity in a long-term survival study in a porcine… Show more

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Cited by 108 publications
(72 citation statements)
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“…In fact, several causes can result in bladder perforation, such as iatrogenic damage during transurethral resection of bladder lesions, blunt or penetrating abdomen-pelvic trauma [1,5], and more recently the planned vesicotomy described for NOTES procedures [6,9,10]. Until now, if we discovered a bladder rupture after transurethral bladder resection; we needed to convert from endoluminal to laparoscopy or even laparotomy in order to repair the perforation safely [1,5]…”
Section: Discussionmentioning
confidence: 99%
“…In fact, several causes can result in bladder perforation, such as iatrogenic damage during transurethral resection of bladder lesions, blunt or penetrating abdomen-pelvic trauma [1,5], and more recently the planned vesicotomy described for NOTES procedures [6,9,10]. Until now, if we discovered a bladder rupture after transurethral bladder resection; we needed to convert from endoluminal to laparoscopy or even laparotomy in order to repair the perforation safely [1,5]…”
Section: Discussionmentioning
confidence: 99%
“…Transvesical access to the abdominal cavity either alone or in combination with transgastric access has been used for a broad range of procedures such as peritoneoscopy, liver biopsy, lung biopsy, cholecystectomy, nephrectomy, and partial cystectomy [7][8][9][10][11][12]. More recently, Gettman et al [13] reported the clinical feasibility of transvesical peritoneoscopy by using a flexible ureteroscope (DUR-8) during a case of robotic radical prostatectomy.…”
Section: Discussionmentioning
confidence: 99%
“…In both surgical procedures, the transvesical port represented not only a working port through which many instruments are used, but also a way of support and guidance in choosing the site of entry into the peritoneal cavity via the transgastric port [9,10]. The transvesical port, although at the lower end of the abdomen, also allowed the execution of thoracic procedures in the porcine model [11].…”
Section: Introductionmentioning
confidence: 99%
“…This approach was feasible and safely performed in a survival porcine model [18••]. Recently, the same researchers used the transvesical port to perform thoracoscopy with lung biopsies through the diaphragm in a survival porcine model study [24]. A transcolonic port approach has also been reported involving several complications related to the nonsterile nature of the colon [25].…”
Section: Experimental Studiesmentioning
confidence: 99%