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Published on: March 28, 2025
[Transvaginal cholecystectomy (NOTES) combined with minilaparoscopy]
C Dolz1, J F Noguera, A Martín
1Servicio de Aparato Digestivo, Hospital Son Llàtzer, Palma de Mallorca. coldzaba@hsll.es
Revista Espanola De Enfermedades Digestivas
|February 23, 2008
Summary
The first transvaginal cholecystectomy in Spain was successfully performed using a multidisciplinary approach. This natural orifice transluminal endoscopic surgery (NOTES) procedure for gallbladder removal proved safe and well-tolerated.
Area of Science:
- Minimally Invasive Surgery
- Gastroenterology
- Gynecologic Surgery
Background:
- Gallstones frequently cause recurrent biliary pain.
- Transvaginal cholecystectomy represents an advancement in Natural Orifice Transluminal Endoscopic Surgery (NOTES).
Observation:
- A 35-year-old female patient with symptomatic gallstones underwent a novel surgical procedure.
- The surgery involved a multidisciplinary team of surgeons, gastroenterologists, and gynecologists.
- A transvaginal approach was utilized, accessing the gallbladder through the vagina using specialized endoscopic tools.
Findings:
- Cholecystectomy was successfully completed using a combination of laparoscopic and endoscopic instruments inserted via the vaginal route.
- The gallbladder was removed transvaginally without complications.
- The patient experienced an uncomplicated recovery and was discharged within 24 hours.
Implications:
- Transvaginal cholecystectomy is a feasible and safe surgical option when performed by a collaborative multidisciplinary team.
- NOTES procedures offer potential benefits over traditional laparoscopic surgery, including reduced invasiveness and improved cosmetic outcomes.
- This technique may pave the way for significant future medical and technological innovations in endoscopic surgery.