New horizons in the treatment of gallstone disease - NOTES minilaparoscopically assisted cholecystectomy

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First transvaginal cholecystectomy in Russia - NOTES cholecystectomy with the use of flexible endoscope was performed in the Vishnevsky Institute of Surgery of the Russian Academy of Medical Sciences on April 16, 2008. Within several years first urgent surgeries on pelvic organs and retroperitoneal space are performed. Pioneer experience demonstrated safety of transluminal surgical techniques. The aim of the study was to analyze results of the first 45 transluminal (NOTES) minilaparoscopically assisted cholecystectomies. All surgeries were accomplished successfully without conversions to conventional laparoscopic or open cholecystectomy. Average time of surgery was 43.5 min (30-72 min). In 2 cases insertion of additional 5-mm instrument in the epigastrium was required. No intra- and postoperative complications were noted. Transluminal (NOTES) minilaparoscopically assisted cholecystectomy is a safe and feasible in the hands of an experienced surgeon.

Keywords:

cholecystectomy

laparoscopic cholecystectomy

NOTES

hybrid NOTES cholecystectomy

transluminal (NOTES) minilaparoscopically assisted cholecystectomy

Authors:

Puchkov K.V.

Federal State Budgetary Educational Institution of Higher Education 'I.P Pavlov Ryazan State Medical University' of the Ministry of Healthcare of the Russian Federation, Ryazan, Russia;
Federal State Budgetary Educational Institution of Further Professional Education 'Russian Medical Academy of Postgraduate Education' of the Ministry of Healthcare of the Russian Federation, Moscow, Russia;
'New Technologies Plus', Moscow, Russia

Puchkov D.K.

Riazanskaia oblastnaia klinicheskaia bol'nitsa

Khubezov D.A.

Riazanskaia oblastnaia klinicheskaia bol'nitsa

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