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Surgical Endoscopy
Published in: Surgical Endoscopy 4/2009

01-04-2009

Transumbilical endoscopic surgery: a preliminary clinical report

Authors: Jiang Fan Zhu, Hai Hu, Ying Zhang Ma, Man Zhu Xu, Feng Li

Published in: Surgical Endoscopy | Issue 4/2009

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Abstract

Objective

There has been great interest in natural orifice transluminal endoscopic surgery (NOTES) in recent years. We report another new approach—transumbilical endoscopic surgery (TUES)—which we have performed in 40 cases for liver cysts (3), bleeding ascites (1), chronic appendicitis (10), and gallbladder diseases (26).

Methods

Transumbilical endoscopic liver cyst fenestration, abdominal cavity exploration, appendectomy, and cholecystectomy were performed in a total of 40 patients.

Results

All the operations were completed successfully except one case of intraoperative bleeding in TUES cholecystectomy which was converted to routine laparoscopic surgery. The operating times for TUES cholecystectomy, appendectomy, and liver cyst fenestration were 30–150 min,15–40 min, and 30–90 min, respectively. No postoperative bleeding or bile leakage occurred in this group of patients.

Conclusions

Transumbilical endoscopic surgery is feasible, and would be another option for scarless abdominal surgery. TUES cholecystectomy is technically challenging. Careful selection of patients is important in the initial period of this technique.
Literature
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Park PO, Bergstrom M, Ikeda K, Fritscher-Ravens A, Swain P (2005) Experimental studies of transgastric gallbladder surgery: cholecystectomy and cholecystogastric anastomosis. Gastrointest Endosc 61:601–606PubMedCrossRef
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Pappalepore N, Tursini S, Marino N, Lisi G, Lelli Chiesa P (2002) Transumbilical laparoscopic-assisted appendectomy (TULAA): a safe and useful alternative for uncomplicated appendicitis. Eur J Pediatr Surg 12:383–386PubMedCrossRef
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Metadata
Title
Transumbilical endoscopic surgery: a preliminary clinical report
Authors
Jiang Fan Zhu
Hai Hu
Ying Zhang Ma
Man Zhu Xu
Feng Li
Publication date
01-04-2009
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-008-0086-7

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