Natural orifice translumenal endoscopic surgery (NOTES) transvaginal cholecystectomy in a morbidly obese patient

被引：52

作者：

DeCarli, Luis ^{[2
]}

Zorron, Ricardo ^{[1
]}

Branco, Alcides ^{[3
]}

Lima, Fernando Cirme ^{[2
]}

Tang, Marcos ^{[2
]}

Pioneer, Sergio Ricardo ^{[2
]}

Zanin, Idilio, Jr. ^{[2
]}

Schulte, Alfredo Augusto ^{[2
]}

Bigolin, Andre Vicente ^{[2
]}

Gagner, Michel ^{[4
]}

机构：

[1] Univ Hosp Teresopolis HCTCO FESO, Dept Surg, BR-22790702 Rio De Janeiro, Brazil

[2] Hosp Irmandade St Case Misericordia, Dept Surg, Porto Alegre, RS, Brazil

[3] Cruz Vermelha Hosp Curitiba, Dept Surg, Parana, Brazil

[4] Mt Sinai Med Ctr, Dept Surg, Miami, FL USA

来源：

OBESITY SURGERY | 2008年 / 18卷 / 07期

关键词：

flexible endoscopy; natural orifice translumenal endoscopic surgery; NOTES; endoscopic surgery; minimally invasive surgery; laparoscopy; vaginal surgery; obesity surgery;

D O I：

10.1007/s11695-008-9523-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Transvaginal natural orifice translumenal endoscopic surgery (NOTES) is a new diagnostic and potentially therapeutic method of surgical endoscopy. The first case of NOTES transvaginal cholecystectomy in a morbid obese patient in the literature is described. IRB approval was obtained at the institution for transvaginal NOTES clinical trials. A 58-year-old female patient with cholelithiasis, hypertension, and type II diabetes, and BMI of 35.8 kg/m(2) was submitted to the technique. After transvaginal access, a two-channel gastroscope was introduced into the abdominal cavity along with a laparoscopic trocar. There were 2 umbilical punctures for use of 3 mm laparoscopic equipment. Operative time was 85 min. There was no use of postoperative analgesia, and the patient was discharged on the third postoperative day. Transvaginal NOTES is a feasible alternative method for cholecystectomy in the morbidly obese, although available technology is limited for natural orifice surgery.

引用

页码：886 / 889

页数：4

共 17 条

[1] Measurements of intraperitoneal pressure and the development of a feedback control valve for regulating pressure during flexible transgastric surgery (NOTES) [J].

Bergstrom, Maria ;

Swain, Paul ;

Park, Per-Ola .

GASTROINTESTINAL ENDOSCOPY, 2007, 66 (01) :174-178

[2] Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery [J].

Bessler, Marc ;

Stevens, Peter D. ;

Milone, Luca ;

Parikh, Manish ;

Fowler, Dennis .

GASTROINTESTINAL ENDOSCOPY, 2007, 66 (06) :1243-1245

[3] Initial experience with hybrid transvaginal cholecystectomy [J].

Branco Filho, Alcides Jose ;

Noda, Rafael William ;

Kondo, William ;

Kawahara, Nilton ;

Rangel, Marlion ;

Branco, Anibal Wood .

GASTROINTESTINAL ENDOSCOPY, 2007, 66 (06) :1245-1248

[4]

BUENO B, 1949, Tokoginecol Pract, V8, P152

[5] Transgastric surgery in the abdomen:: the dawn of a new era? [J].

Hochberger, J ;

Lamadé, W .

GASTROINTESTINAL ENDOSCOPY, 2005, 62 (02) :293-296

[6] Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity [J].

Kalloo, AN ;

Singh, VK ;

Jagannath, SB ;

Niiyama, H ;

Hill, SL ;

Vaughn, CA ;

Magee, CA ;

Kantsevoy, SV .

GASTROINTESTINAL ENDOSCOPY, 2004, 60 (01) :114-117

[7] Transgastric endoscopic splenectomy - Is it possible? [J].

Kantsevoy, SV ;

Hu, B ;

Jagannath, SB ;

Vaughn, CA ;

Beitler, DM ;

Chung, SSC ;

Cotton, PB ;

Gostout, CJ ;

Hawes, RH ;

Pasricha, PJ ;

Magee, CA ;

Pipitone, LJ ;

Talamini, MA ;

Kalloo, AN .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2006, 20 (03) :522-525

[8] Endoscopic gastrojejunostomy with survival in a porcine model [J].

Kantsevoy, SV ;

Jagannath, SB ;

Niiyama, H ;

Chung, SSC ;

Cotton, PB ;

Gostout, CJ ;

Hawes, RH ;

Pasricha, PJ ;

Magee, CA ;

Vaughn, CA ;

Barlow, D ;

Shimonaka, H ;

Kalloo, AN .

GASTROINTESTINAL ENDOSCOPY, 2005, 62 (02) :287-292

[9] Surgery without scars - Report of transluminal cholecystectomy in a human being [J].

Marescaux, Jacques ;

Dalleinagne, Bernard ;

Perretta, Silvana ;

Wattiez, Arnaud ;

Mutter, Didier ;

Cournaros, Dimitri .

ARCHIVES OF SURGERY, 2007, 142 (09) :823-826

[10] A reliable method for monitoring intraabdominal pressure during natural orifice translumenal endoscopic surgery [J].

McGee, M. F. ;

Rosen, M. J. ;

Marks, J. ;

Chak, A. ;

Onders, R. ;

Faulx, A. ;

Ignagni, A. ;

Schomisch, S. ;

Ponsky, J. .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2007, 21 (04) :672-676

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