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Related Experiment Video

Updated: Jun 20, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Transgastric hybrid cholecystectomy.

B Dallemagne1, S Perretta, P Allemann

  • 1Department of Digestive and Endocrine Surgery, University Hospital of Strasbourg, Strasbourg, France. bernard.dallemagne@ircad.fr

The British Journal of Surgery
|September 30, 2009
PubMed
Summary

Hybrid transgastric cholecystectomy, a novel endoscopic surgery, proved successful in all five patients. This approach, utilizing transparietal assistance, offers a safe method for gallbladder removal, though further research is needed.

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Area of Science:

  • Minimally Invasive Surgery
  • Gastroenterology
  • Surgical Innovation

Background:

  • Natural orifice transluminal endoscopic surgery (NOTES) is an emerging field.
  • Transvaginal cholecystectomy has been explored, but technical challenges remain.
  • This study reports on the technique and initial outcomes of hybrid transgastric cholecystectomy.

Purpose of the Study:

  • To describe the technique and initial results of hybrid transgastric cholecystectomy.
  • To evaluate the feasibility and safety of this novel approach for gallbladder removal.

Main Methods:

  • A prospective intention-to-treat study involving five patients (aged 18-60) with uncomplicated cholelithiasis.
  • Transgastric cholecystectomy performed using flexible endoscopic instruments, with optional laparoscopic (transparietal) assistance.

Related Experiment Videos

Last Updated: Jun 20, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

  • Gastrotomy created under laparoscopic guidance; gallbladder exposed, clipped, and gastrotomy closed via a 5-mm umbilical trocar.

    • Main Results:

    • Successful cholecystectomy in all five patients with a median operating time of 150 minutes.
    • Transparietal assistance was required in all cases.
    • No intraoperative or postoperative complications were observed.

    Conclusions:

    • The hybrid transgastric cholecystectomy with significant transparietal assistance is currently the safest and most effective method.
    • Further investigation is necessary to address technical aspects and establish the role of this technique in clinical practice.