Transumbilical endoscopic cholecystectomy in a porcine model
Acta cir. bras
;
28(11): 762-766, Nov. 2013. ilus, tab
Article
in English
| LILACS
| ID: lil-695955
ABSTRACT
PURPOSE:
Natural orifice transluminal endoscopic surgery (NOTES) is a new technique. This study describes our initial experience of NOTES and investigates the feasibility of transumbilical endoscopic cholecystectomy (TUEC).METHODS:
Eight domestic pigs were submitted to TUEC. After establishment of pneumoperitoneum, a bi-channel endoscope was placed through an infra-umbilical trocar. The gallbladder fundus was lifted by a grasper. The cystic duct and artery was dissected with a flexible hook and clipped by a clip fixing device. The specimen was extracted through the infra-umbilical trocar.RESULTS:
The mean operation time was 114 minutes, ranging from 75 to 155 minutes. All the gallbladders were removed successfully. There was one case of subtotal resection, two cases of bleeding and three cases of bile leakage.CONCLUSION:
Transumbilical endoscopic cholecystectomy is feasible although it needs more support of experiments and techniques before being applied on human subjects.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Umbilicus
/
Cholecystectomy, Laparoscopic
/
Natural Orifice Endoscopic Surgery
Type of study:
Prognostic study
Limits:
Animals
Language:
English
Journal:
Acta cir. bras
Journal subject:
General Surgery
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2013
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Shanghai Jiaotong University School of Medicine/CN
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