Hybrid NOTES transgastric cholecystectomy with reliable gastric closure: an animal survival study.

ABSTRACT:

Background

Secure transluminal closure remains the most fundamental barrier to safe translation of transgastric natural orifice transluminal endoscopic surgery (NOTES) procedures to humans. Obtaining optimal critical view of safety (CVS) is a prerequisite to performing cholecystectomy avoiding common bile duct injury.

Objectives

(1) To evaluate feasibility and safety of hybrid transgastric NOTES cholecystectomy. (2) To evaluate feasibility and reliability of gastrotomy closure using a novel Over-The-Scope-Clip (OTSC; Ovesco) in survival porcine experiments.

Methods

Laparoscopic access to the abdominal cavity was obtained by two 2-mm and one umbilical optical trocar(s). Gastric access was created by balloon dilatation of a needle knife puncture up to 18 mm. Exposure of

SUBMITTER: Voermans RP 

PROVIDER: S-EPMC3044824 | biostudies-literature | 2011 Mar

REPOSITORIES: biostudies-literature