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Published on: December 4, 2023
Laparoscopic assisted transvaginal cholecystectomy: single centre preliminary experience
Antonio Brescia1, Luigi Masoni, Marcello Gasparrini
1Department of Medical and Surgical Sciences and Translational Medicine, St. Andrea Hospital, School of Medicine and Psychology, University Sapienza of Rome, Rome, Italy. onedaysurgery-info@yahoo.it
Summary
Laparoscopic assisted transvaginal cholecystectomy (LATC) is a promising Natural Orifice Transluminal Endoscopic Surgery (NOTES) approach. This study found LATC to be safe and effective with no complications at one year.
Area of Science:
- Minimally Invasive Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Natural Orifice Transluminal Endoscopic Surgery (NOTES) enables abdominal procedures via natural orifices.
- Laparoscopic assisted transvaginal cholecystectomy (LATC) is explored as a NOTES technique.
Purpose of the Study:
- To evaluate the preliminary experience and outcomes of LATC.
- To assess the safety and efficacy of LATC in cholelithiasis patients.
Main Methods:
- LATC was performed on women under 65 with cholelithiasis, BMI < 30, and ASA I/II status.
- Data collected included operative time, intraoperative/postoperative complications, and long-term follow-up.
Main Results:
- 21 LATCs were successfully performed with a median operative time of 58 minutes.
- No intraoperative complications occurred, and postoperative recovery was uneventful.
- One-year follow-up revealed no complications and no impairment of sexual activity.
Conclusions:
- Hybrid NOTES, including LATC, can be safely performed.
- LATC offers potential advantages over traditional laparoscopic cholecystectomy, including improved cosmesis, reduced pain, and faster recovery.