Transvaginal-hybrid vs. single-port-access vs. ‘conventional’ laparoscopic cholecystectomy: a prospective observational study

@article{Kilian2011TransvaginalhybridVS,
  title={Transvaginal-hybrid vs. single-port-access vs. ‘conventional’ laparoscopic cholecystectomy: a prospective observational study},
  author={M. Kilian and W. Raue and C. Menenakos and B. Wassersleben and J. Hartmann},
  journal={Langenbeck's Archives of Surgery},
  year={2011},
  volume={396},
  pages={709-715}
}
PurposeIn the recent past, access to the peritoneal cavity has involved primarily ‘natural orifice transluminal’ and ‘single-port access’ techniques, which are based on laparoscopy. The most frequently performed procedure using these new developments is cholecystectomy. Few studies compare more than one ‘new’ method with the ‘golden standard’ of laparoscopic cholecystectomy. Here we present the results of the first prospective observational study comparing standard laparoscopic cholecystectomy… Expand
Less pain after transvaginal/transumbilical cholecystectomy than after the classical laparoscopic technique: short-term results of a matched-cohort study
TLDR
The findings show that TVC is a safe procedure for female patients, has a risk comparable with that of classic LC, causes significantly less pain in the early postoperative period, and leads to a significantly shorter hospital stay. Expand
Comparison of short-term outcomes between transvaginal hybrid NOTES cholecystectomy and laparoscopic cholecystectomy
TLDR
TVC requires a longer operative time than LC but may result in less pain in the immediate postoperative period with patients subsequently requiring fewer narcotics, adding to the existing evidence that transvaginal hybrid NOTES cholecystectomy using a flexible endoscope for dissection is a technically feasible and safe procedure. Expand
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TLDR
The transvaginal-hybrid NOTES appendectomy procedure is found to be feasible intraoperatively and early postoperatively in terms of possibility to manage a variety of intraoperative findings that may occur during planned appendectomy, low intraoperative complications, and management of postoperative complications using established concepts. Expand
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TLDR
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TLDR
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Transvaginal hybrid NOTES cholecystectomy—results of a randomized clinical trial after 6 months
TLDR
Following TVC, there is a significantly better aesthetic result as compared to NC, even at 3 and 6 months after the procedure, and no difference was found for sexual function. Expand
Prospective randomized clinical trial comparing laparoscopic cholecystectomy and hybrid natural orifice transluminal endoscopic surgery (NOTES) (NCT00835250)
TLDR
The transumbilical approach with flexible endoscope is as effective and safe as the transvaginal approach and is a promising, single-incision approach in natural orifice transluminal endoscopic surgery. Expand
Single-incision Versus Conventional Laparoscopic Cholecystectomy in Patients With Uncomplicated Gallbladder Disease: A Meta-analysis
TLDR
The current evidence shows that patients with uncomplicated cholelithiasis or polypoid lesions of the gallbladder who prefer a better cosmetic outcome, SILC offers a safe alternative to CLC. Expand
Prospective, randomized clinical trial comparing the use of a single-port device with that of a flexible endoscope with no other device for transumbilical cholecystectomy: LLATZER-FSIS pilot study
TLDR
The transumbilical approach using a flexible endoscope is just as effective and safe as the other two procedures and is a promising single-incision approach compared with conventional laparoscopy. Expand
Single-incision versus conventional multiport laparoscopic cholecystectomy: a current meta-analysis of randomized controlled trials
TLDR
The results showed that SILC did not result in better outcomes compared with MPLC and both were equivalent regarding complications, and considering the additional surgical technology and longer operation time, SILC should be chosen with careful consideration. Expand
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Until specifically designed endoscopic tools are available for NOTES, the hybrid technique with US dissection conducted through a 5-mm port should be preferred in transvaginal cholecystectomy in order to shorten the duration of surgery and make this approach effective, safe and reproducible. Expand
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TLDR
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