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Journal of Hepato-Biliary-Pancreatic Sciences

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01-05-2009 | Topics

Evaluation for transvaginal and transgastric NOTES cholecystectomy in human and animal natural orifice translumenal endoscopic surgery

Authors: Maki Sugimoto, Hideki Yasuda, Keiji Koda, Masato Suzuki, Masato Yamazaki, Tohru Tezuka, Chihiro Kosugi, Ryota Higuchi, Yoshihisa Watayo, Yohsuke Yagawa, Shuichiro Uemura, Hironori Tsuchiya, Atsushi Hirano, Shoki Ro

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 3/2009

Abstract

Background/purpose

Natural orifice translumenal endoscopic surgery (NOTES) is a novel concept using an endoscope via a translumenal access for abdominal surgery. This study was designed to evaluate the feasibility and technical aspects of NOTES cholecystectomy from our experience on humans and animals.

Methods

NOTES cholecystectomies were performed in 12 animal experiments, including 8 pigs (6 by transgastric and 2 by transvaginal accesses) and 4 dogs (4 transvaginal accesses), and a human female cadaver.

Results

The entire gallbladder could be removed under direct vision in all experiments. The average time was 60 min by transgastric and 40 min by transvaginal in animals. It was 87 min for human transvaginal cholecystectomy. In all animal and human procedures, there was no major complication concerning the operation.

Discussion

The transvaginal route may be the easiest route for abdominal NOTES. Percutaneous endoscopic gastrostomy (PEG) allowed the safe performance of a controlled gastric perforation and shortened the time. The hybrid method allowed performance of a safe procedure and shortened the time.

Conclusions

Transvaginal and transgastric NOTES cholecystectomy is technically feasible and safe in both humans and animals. New instrumentation needs to be developed to perform a pure NOTES cholecystectomy without transabdominal assistance.

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Title: Evaluation for transvaginal and transgastric NOTES cholecystectomy in human and animal natural orifice translumenal endoscopic surgery
Authors: Maki Sugimoto
Hideki Yasuda
Keiji Koda
Masato Suzuki
Masato Yamazaki
Tohru Tezuka
Chihiro Kosugi
Ryota Higuchi
Yoshihisa Watayo
Yohsuke Yagawa
Shuichiro Uemura
Hironori Tsuchiya
Atsushi Hirano
Shoki Ro
Publication date: 01-05-2009
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 3/2009
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-009-0090-x

Keynote webinar | Spotlight on medication adherence

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Evaluation for transvaginal and transgastric NOTES cholecystectomy in human and animal natural orifice translumenal endoscopic surgery

Abstract

Background/purpose

Methods

Results

Discussion

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background/purpose

Methods

Results

Discussion

Conclusions

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