Abstract
Aim: Natural orifices of the human body are becoming popular as the new routes through which surgical procedures can be performed. Herein we would like to present the first national transvaginal cholecystectomy cases.
Materials and Methods: Two symptomatic female cholelithiasis cases underwent successful transvaginal cholecystectomies.
Results: Two cases have undergone successfull transvaginal cholecystectomies. No morbidity occurred. Less postoperative pain was considerable.
Conclusion: Amazingly fast developing medical technologies are leading and searching for less invasive surgical procedures. Even though as academicians we are looking for an evidence based data to practice routinely new surgical interventions, we should also be pioneers to catch-up the newest modalities as tertiary experienced centers.
Keywords:
N.O.T.E.S., cholecystectomy, transvaginal
References
1Mouret P. How I developed laparoscopic cholecystectomy? Ann Acad Med Singapore 1996;25:744-747.
2Fong DG, Pai RD, Thompson CC. Transcolonic endoscopic abdominal exploration: a NOTES survival study in a porcine model.Gastrointest Endosc 2007;65:312-318.
3Swanstrom LL. Beyond endoluminal therapeutic endoscopy. Gastrointest Endosc 2007;66:121-122.
4Clayman RV, Box GN, Abraham JB, et al. Rapid communication: transvaginal single-port NOTES nephrectomy: initial laboratory experience. J Endourol 2007;21:640-644.
5Marescaux J, Dallemagne B, Perretta S, et al. Surgery without scars: report of transluminal cholecystectomy in a human being. Arch Surg 2007;142:823-826.
6Ramos AC, Murakami A, Galvão Neto M, et al. NOTES transvaginal video-assisted cholecystectomy: first series. Endoscopy 2008;40:572-575.
7Rossi P, Bugiantella W, Graziosi L, et al. Transvaginal laparoscopically assisted endoscopic cholecystectomy: report of 3 cases. Gastrointest Endosc 2008;68:1226- 1228.
8Bessler M, Stevens PD, Milone L, et al. Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery. Gastrointest Endosc 2007;66:1243-1245.