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Transvaginal cholecystectomy without abdominal ports.
Fausto Davila1, Daniel A Tsin, Guillermo Dominguez
1Hospital Regional, Poza Rica, SESVER, Veracruz, México.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 8, 2009
Summary
This study presents a scarless, single-port transvaginal cholecystectomy (gallbladder removal) using operative laparoscopy. This natural orifice surgery offers a safe, affordable alternative with reduced percutaneous assistance.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Gastrointestinal Surgery
Background:
- Developing safer, more affordable natural orifice transvaginal cholecystectomy techniques is a key goal.
- This research explores a novel approach minimizing percutaneous assistance.
Observation:
- A 24-year-old female patient with gallbladder lithiasis underwent a transvaginal cholecystectomy.
- The procedure utilized a single 12-mm transvaginal port with an operative laparoscope and specialized instruments.
- Percutaneous marionette leashes provided assistance.
Findings:
- The transvaginal cholecystectomy was successfully performed with no abdominal ports.
- The patient experienced a 24-hour hospital stay and was discharged pain-free and scar-free.
Implications:
- This technique demonstrates the feasibility of transvaginal cholecystectomy using an operative laparoscope.
- It offers a viable alternative to traditional laparoscopy or hybrid transvaginal procedures.
- This approach advances scarless surgery and natural orifice techniques.
