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Related Experiment Videos

[MANOS: Transvaginal cholecystectomies: preliminary report].

Raúl Castro-Pérez1, Luís Ramón Acosta-González, Eduardo Dopico-Reyes

  • 1Servicio de Cirugía General, Hospital Universitario Abel Santamaría Cuadrado, Facultad de Ciencias Médicas de Pinar del Río, Cuba. castro@princesa.pri.sld.cu

Cirugia Espanola
|April 18, 2009
PubMed
Summary

Transvaginal cholecystectomy assisted with minilaparoscopy is a safe and feasible surgical option for symptomatic cholelithiasis. This innovative technique, performed in Cuba, shows no post-operative complications within a month.

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Laparoscopy and natural orifice surgery: first entry safety surveillance step.

JSLS : Journal of the Society of Laparoendoscopic Surgeons·2011
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Postoperative patient attitudes and perceptions of transvaginal cholecystectomy.

Journal of laparoendoscopic & advanced surgical techniques. Part A·2010
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Area of Science:

  • Minimally invasive surgery
  • Gastrointestinal surgery
  • Surgical innovation

Context:

  • Transvaginal cholecystectomy represents a novel approach to gallbladder removal.
  • This study introduces the first transvaginal cholecystectomies performed in Cuba.
  • The procedure was assisted by minilaparoscopy, utilizing standard laparoscopic instruments.

Purpose:

  • To present the initial experience and outcomes of transvaginal cholecystectomies in Cuba.
  • To evaluate the feasibility and safety of minilaparoscopic-assisted transvaginal cholecystectomy.
  • To assess key surgical metrics including operating room time, analgesia requirements, and postoperative complications.

Summary:

  • Seven female patients (ages 33-62) with symptomatic cholelithiasis underwent minilaparoscopic-assisted transvaginal cholecystectomy.

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  • Operating room time averaged 72.4 minutes, with no analgesia required postoperatively.
  • Patients were discharged within 24 hours, and no complications were observed during one-month follow-up.

    • Impact:

    • Minilaparoscopic-assisted transvaginal cholecystectomy is demonstrated as a safe and feasible technique for experienced laparoscopic surgeons.
    • This approach can be executed with existing rigid laparoscopic instruments.
    • Minilaparoscopic-assisted natural orifice surgery (MANOS) offers a potential bridge between conventional laparoscopy and Natural Orifice Transluminal Endoscopic Surgery (NOTES).