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Published on: March 28, 2025
Transumbilical endoscopic surgery: a preliminary clinical report.
Jiang Fan Zhu1, Hai Hu, Ying Zhang Ma
1Department of General Surgery, East Hospital of Tongji University, 150 Ji Mo Road, 200120 Pudong, Shanghai, China. zhujiangfan@hotmail.com
Surgical Endoscopy
|July 24, 2008
Summary
Transumbilical endoscopic surgery (TUES) is a feasible scarless surgical option. While TUES cholecystectomy presents challenges, TUES demonstrates potential for various abdominal procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Gastroenterology
Background:
- Natural orifice transluminal endoscopic surgery (NOTES) has gained attention.
- Transumbilical endoscopic surgery (TUES) is a novel approach for scarless abdominal surgery.
Purpose of the Study:
- To evaluate the feasibility and outcomes of transumbilical endoscopic surgery (TUES).
- To assess TUES for liver cysts, bleeding ascites, chronic appendicitis, and gallbladder diseases.
Main Methods:
- Performed 40 TUES procedures including liver cyst fenestration, abdominal exploration, appendectomy, and cholecystectomy.
- Documented operating times and postoperative complications.
Main Results:
- All 40 TUES operations were successful, with one conversion to laparoscopy due to bleeding during cholecystectomy.
- Operating times varied: cholecystectomy (30-150 min), appendectomy (15-40 min), liver cyst fenestration (30-90 min).
- No postoperative bleeding or bile leakage observed in the TUES group.
Conclusions:
- Transumbilical endoscopic surgery (TUES) is a viable option for scarless abdominal surgery.
- TUES cholecystectomy requires careful patient selection due to technical challenges.
- TUES offers a promising alternative for minimally invasive abdominal procedures.