NOTES-transvagina endoscopic cholecystectomy:report of 31 cases
- VernacularTitle:NOTES-经自然腔道(阴道)内镜下胆囊切除术31例
- Author:
Jun NIU
- Publication Type:Journal Article
- Keywords:
Cholecystectomy;
NOTES;
Vagina;
Endoscope
- From:
Chinese Journal of Current Advances in General Surgery
2009;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility,safety and superiority of transvagina endo- scopic cholecystectomy used in clinical application.Methods:31 patients with gall-bladder diseases were treated in transvagina endoscopic cholecystectomy.Through a 5mm cut below the umbilicus, inserted laparoscopic guide gastroscope and NOTES manipulator enter abdominal cavity through posterior fornix 15mm cut.After the gastroscope can capture stable vision,withdraw the laparoscope and insert normal laparoscopic manipulator.With the gastroscope monitoring,accomplish cholecystectomy using umbilical and pudendum manipulator.Results:All of patients were accepted this new type operation.The operation time was 60～150 minutes,and the average time was 85 minutes.No postoperative draining,bleeding and biliary fistula occurred in those patients. There was no obvious scar in belly,and all of patients felt no pains after operation.The average inpatient time was shorten,the medical cost decreased.Conclusion:Transvagina endoscopic cholecystectomy is feasible and safety.Comparing to traditional laparoscopic operation,it has obviously superiority.Transvagina endoscopic cholecystectomy should be widely applied in good condition hospitals.
