Related Experiment Videos
Transvaginal single port cholecystectomy
Fausto J Davila1, Daniel A Tsin, Leopoldo S Gutierrez
1Hospital Regional de Poza Rica, Sesver, Monterrey, México. faustodavila@gmail.com
Background:
Transvaginal cholecystectomy encourages researchers to develop new hybrid or pure techniques for natural orifice surgery. We present an approach that combines flexible endoscopes, rigid instruments, and percutaneous needles.
Methods:
A 26-year-old female patient with cholelithiasis underwent a single-port culdolaparoscopy cholecystectomy at "Hospital Regional Poza Rica" (Poza Rica, Mexico) on July 2008. The surgery was performed with only 1 transvaginal 16 mm in diameter by 32 cm in length port. The instruments included a gastroscope, laparoscopic 5 mm in diameter by 43 cm in length instruments, percutaneous reins, and hook needle.
Results:
The patient was discharged 24 hours after surgery, which is customary for the hospital, without pain or visible scars.
Conclusions:
Single transvaginal port cholecystectomy using a gastroscope and laparoscopic 5 mm instruments in a parallel path is a feasible procedure in selected patients. This technique requires no abdominal ports assistance.