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Laparoscopic transumbilical cholecystectomy without visible abdominal scars
Ninh T Nguyen1, Kevin M Reavis, Marcelo W Hinojosa
1Department of Surgery, University of California Irvine Medical Center, 333 City Blvd. West, Suite 850, Orange, CA 92868, USA. ninhn@uci.edu
Summary
This study introduces Natural Orifice Transumbilical Surgery (NOTUS) for cholecystectomy, a novel technique using only umbilical incisions for scarless surgery. The procedure was safe and feasible, with potential for future advancements.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Gastrointestinal Surgery
Background:
- Natural Orifice Transumbilical Surgery (NOTUS) is a novel approach for laparoscopic cholecystectomy.
- This technique utilizes three laparoscopic ports placed exclusively through the umbilicus.
- NOTUS aims to eliminate visible abdominal scars, offering a cosmetic advantage over conventional methods.
Observation:
- A case study details the application of NOTUS for cholecystectomy.
- The surgical procedure was performed using only transumbilical incisions.
- This approach facilitates a scarless operative outcome.
Findings:
- The cholecystectomy using NOTUS was completed in 70 minutes with no intraoperative complications.
- The patient experienced a successful recovery, with same-day discharge and no complications at 2-month follow-up.
- The technique was demonstrated to be technically feasible and safe in this patient.
Implications:
- NOTUS cholecystectomy presents a safe and feasible alternative to conventional laparoscopic procedures.
- Advancements in flexible instrumentation and visualization are crucial for wider adoption of NOTUS.
- Further randomized clinical trials are necessary to establish the long-term advantages of NOTUS over standard laparoscopic cholecystectomy.