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Journal of Gastrointestinal Surgery

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01-09-2009 | Review Article

A Comprehensive Review of Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy

Authors: Ronald Scott Chamberlain, Sujit Vijay Sakpal

Published in: Journal of Gastrointestinal Surgery | Issue 9/2009

Abstract

Introduction

Surgery of the gallbladder has evolved tremendously over the last century. Laparoscopic cholecystectomy is the gold standard for gallbladder removal and the most common laparoscopic procedure worldwide. In recent times, innovative techniques of natural orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS) have been applied in gallbladder removal as a step towards even more less-invasive procedures.

Discussion

While NOTES and SILS represent the advent of essentially scarless surgery, limited applications of these technologies in human subjects exists. In this article, we present a comprehensive review of the potential benefits, limitations and risks of these novel techniques.

Conclusion

While much remains unknown and unanswered surrounding these procedures, it is clear that extensive research and development with regards to the ethics and the technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential.

Lau WY, Leow CK, Li AK. History of endoscopic and laparoscopic surgery. World J Surg. 1997;21:444–53. doi:10.1007/PL00012268.PubMedCrossRef

Bittner R. The standard of laparoscopic cholecystectomy. Langenbecks Arch Surg. 2004;389:157–63. doi:10.1007/s00423-004-0471-1.PubMedCrossRef

Mühe E. Die erste: cholecystecktomie durch das laparoskop (The first laparoscopic cholecystectomy). Langenbecks Arch Surg. 1986;369:804.

Kaiser AM, Corman ML. History of laparoscopy. Surg Oncol Clin N Am. 2001;10:483–92.PubMed

Tacchino R, Greco F, Matera D. Single-incision laparoscopic cholecystectomy: surgery without a visible scar. Surg Endosc. doi:10.1007/s00464-008-0147-y

Kalloo AN, Singh VK, Jagannath SB, Niiyama H, Hill SL, Vaughn CA, Magee CA, Kantsevoy SV. Flexible transgastric peritoneoscopy: a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity. Gastrointest Endosc. 2004;60:114–7. doi:10.1016/S0016-5107(04)01309-4.PubMedCrossRef

Reddy N, Rao P. Per oral transgastric endoscopic appendectomy in human. Abstract presented at 45th Annual Conference of the Society of Gastrointestinal Endoscopy of India; February 28–29, 2004; Jaipur, India.

Marescaux J, Dallemagne B, Perretta S, Wattiez A, Mutter D, Coumaros D. Surgery without scars: report of transluminal cholecystectomy in a human being. Arch Surg. 2007;142:823–6. doi:10.1001/archsurg.142.9.823.PubMedCrossRef

Pelosi MA, Pelosi MA 3rd. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med. 1992;37:588–94.PubMed

10.

Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. One-wound laparoscopic cholecystectomy. Br J Surg. 1997;84:695. doi:10.1002/bjs.1800840536.PubMedCrossRef

11.

Esposito C. One-trocar appendectomy in pediatric surgery. Surg Endosc. 1998;12:177–8. doi:10.1007/s004649900624.PubMedCrossRef

12.

Palanivelu C, Rajan PS, Rangarajan M, Parthasarathi R, Senthilnathan P, Prasad M. Transvaginal endoscopic appendectomy in humans: a unique approach to NOTES—world's first report. Surg Endosc. 2008;22:1343–7. doi:10.1007/s00464-008-9811-5.PubMedCrossRef

13.

Varshney S, Sewkani A, Vyas S, Sharma S, Kapoor S, Naik S, Purohit D. Single-port transumbilical laparoscopic-assisted appendectomy. Indian J Gastroenterol. 2007;26:192.PubMed

14.

Ponsky TA, Lukish JR. Single site laparoscopic gastrostomy with a 4-mm bronchoscopic optical grasper. J Pediatr Surg. 2008;43:412–4. doi:10.1016/j.jpedsurg.2007.11.009.PubMedCrossRef

15.

Karpelowsky J, Numanoglu A, Rode H. Single-port laparoscopic gastrostomy. Eur J Pediatr Surg. 2008;18:285–6. doi:10.1055/s-2007-989325.PubMedCrossRef

16.

Merchant AM, Cook MW, White BC, Davis SS, Sweeney JF, Lin E. Transumbilical gelport access technique for performing single incision laparoscopic surgery (SILS). J Gastrointest Surg. 2009;13:159–62. doi:10.1007/s11605-008-0737-y.PubMedCrossRef

17.

Saber AA, Elgamal MH, Itawi EA, Rao AJ. Single incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008;18:1338–42. doi:10.1007/s11695-008-9646-0.PubMedCrossRef

18.

Hirano D, Minei S, Yamaguchi K, Yoshikawa T, Hachiya T, Yoshida T, Ishida H, Takimoto Y, Saitoh T, Kiyotaki S, Okada K. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol. 2005;19:788–92. doi:10.1089/end.2005.19.788.PubMedCrossRef

19.

Hellinger MD, Martinez SA, Parra-Davila E, Yeguez J, Sands LR. Gasless laparoscopic-assisted intestinal stoma creation through a single incision. Dis Colon Rectum. 1999;42:1228–31. doi:10.1007/BF02238581.PubMedCrossRef

20.

Remzi FH, Kirat HT, Kaouk JH, Geisler DP. Single-port laparoscopy in colorectal surgery. Colorectal Dis. 2008;10:823–6. doi:10.1111/j.1463-1318.2008.01660.x.PubMedCrossRef

21.

Bucher P, Pugin F, Morel P. Single port access laparoscopic right hemicolectomy. Int J Colorectal Dis. 2008;23:1013–6. doi:10.1007/s00384-008-0519-8.PubMedCrossRef

22.

Leroy J, Cahill RA, Peretta S, Marescaux J. Single port sigmoidectomy in an experimental model with survival. Surg Innov. 2008;15:260–5. doi:10.1177/1553350608324509.PubMedCrossRef

23.

Kaouk JH, Palmer JS. Single-port laparoscopic surgery: initial experience in children for varicocelectomy. BJU Int. 2008;102:97–9. doi:10.1111/j.1464-410X.2008.07584.x.PubMedCrossRef

24.

Desai MM, Aron M, Canes D, Fareed K, Carmona O, Haber GP, Crouzet S, Astigueta JC, Lopez R, de Andrade R, Stein RJ, Ulchaker J, Sotelo R, Gill IS. Single-port transvesical simple prostatectomy: initial clinical report. Urology. 2008;72:960–5. doi:10.1016/j.urology.2008.06.007.PubMedCrossRef

25.

Desai MM, Rao PP, Aron M, Pascal-Haber G, Desai MR, Mishra S, Kaouk JH, Gill IS. Scarless single port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int. 2008;101:83–8. doi:10.1111/j.1464-410X.2007.07423.x.PubMedCrossRef

26.

Aron M, Canes D, Desai MM, Haber GP, Kaouk JH, Gill IS. Transumbilical single-port laparoscopic partial nephrectomy. BJU Int. 2008;103:516–21. doi:10.1111/j.1464-410X.2008.08007.x.PubMedCrossRef

27.

Gill IS, Canes D, Aron M, Haber GP, Goldfarb DA, Flechner S, Desai MR, Kaouk JH, Desai MM. Single port transumbilical (E-NOTES) donor nephrectomy. J Urol. 2008;180:637–41. doi:10.1016/j.juro.2008.04.028.PubMedCrossRef

28.

Bessler M, Stevens PD, Milone L, Parikh M, Fowler D. Transvaginal laparoscopically assisted endoscopic cholecystectomy: a hybrid approach to natural orifice surgery. Gastrointest Endosc. 2007;66:1243–5. doi:10.1016/j.gie.2007.08.017.PubMedCrossRef

29.

Zornig C, Emmermann A, von Waldenfels HA, Mofid H. Laparoscopic cholecystectomy without visible scar: combined transvaginal and transumbilical approach. Endoscopy. 2007;39:913–5. doi:10.1055/s-2007-966911.PubMedCrossRef

30.

Zornig C, Mofid H, Emmermann A, Alm M, von Waldenfels HA, Felixmüller C. Scarless cholecystectomy with combined transvaginal and transumbilical approach in a series of 20 patients. Surg Endosc. 2008;22:1427–9. doi:10.1007/s00464-008-9891-2.PubMedCrossRef

31.

Forgione A, Maggioni D, Sansonna F, Ferrari C, Di Lernia S, Citterio D, Magistro C, Frigerio L, Pugliese R. Transvaginal endoscopic cholecystectomy in human beings: preliminary results. J Laparoendosc Adv Surg Tech A. 2008;18:345–51. doi:10.1089/lap.2007.0203.PubMedCrossRef

32.

Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A. 1999;9:361–4. doi:10.1089/lap.1999.9.361.PubMedCrossRef

33.

Cuesta MA, Berends F, Veenhof AA. The “invisible cholecystectomy”: A transumbilical laparoscopic operation without a scar. Surg Endosc. 2008;22:1211–3. doi:10.1007/s00464-007-9588-y.PubMedCrossRef

34.

Gumbs AA, Milone L, Sinha P, Bessler M. Totally transumbilical laparoscopic cholecystectomy. J Gastrointest Surg 2009;13:533–4. doi:10.1007/s11605-008-0614-8.PubMedCrossRef

35.

Rao PP, Bhagwat SM, Rane A, Rao PP. The feasibility of single port laparoscopic cholecystectomy: a pilot study of 20 cases. HPB Oxf. 2008;10:336–40. doi:10.1080/13651820802276622.CrossRef

36.

Romanelli JR, Mark L, Omotosho PA. Single port laparoscopic cholecystectomy with the TriPort system: a case report. Surg Innov. 2008;15:223–8. doi:10.1177/1553350608322700.PubMedCrossRef

37.

Zhu JF, Hu H, Ma YZ, Xu MZ, Li F. Transumbilical endoscopic surgery: a preliminary clinical report. Surg Endosc 2009;23:813–7. doi:10.1007/s00464-008-0086-7.PubMedCrossRef

38.

Palanivelu C, Rajan PS, Rangarajan M, Parthasarathi R, Senthilnathan P, Praveenraj P. Transumbilical flexible endoscopic cholecystectomy in humans: first feasibility study using a hybrid technique. Endoscopy. 2008;40:428–31. doi:10.1055/s-2007-995742.PubMedCrossRef

39.

Ghezzi F, Raio L, Mueller MD, Gyr T, Buttarelli M, Franchi M. Vaginal extraction of pelvic masses following operative laparoscopy. Surg Endosc. 2002;16:1691–6. doi:10.1007/s00464-002-9043-z.PubMedCrossRef

40.

Varadarajulu S, Tamhane A, Drelichman ER. Patient perception of natural orifice transluminal endoscopic surgery as a technique for cholecystectomy. Gastrointest Endosc. 2008;67:854–60. doi:10.1016/j.gie.2007.09.053.PubMedCrossRef

41.

Tuveri M, Tuveri A. Laparoscopic cholecystectomy: complications and conversions with the 3-trocar technique: a 10-year review. Surg Laparosc Endosc Percutan Tech. 2007;17:380–4. doi:10.1097/SLE.0b013e3180dca5d6.PubMedCrossRef

42.

Navarra G, La Malfa G, Bartolotta G, Currò G. The invisible cholecystectomy: a different way. Surg Endosc. 2008;22:2103. doi:10.1007/s00464-008-9960-6.PubMedCrossRef

Title: A Comprehensive Review of Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy
Authors: Ronald Scott Chamberlain
Sujit Vijay Sakpal
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 9/2009
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-009-0902-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A Comprehensive Review of Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy

Abstract

Introduction

Discussion

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Discussion

Conclusion

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