While gold standard in the treatment of symptomatic gall stones is laparoscopic cholecystectomy with instruments introduced through multiple abdominal wall incisions, transvaginal access to the peritoneal cavity offers an alternative avoiding injury of the abdominal wall. Transvaginal hybrid-NOTES cholecystectomy has been demonstrated effective and safe. However it has not been demonstrated up-to-date if intraoperative cholangiography is feasible during such procedure. This observational case series describes success and technical feasibility of intraoperative cholangiography during transvaginal cholecystectomy. The investigators hypothesis is that cholangiography is feasible equal to conventional laparoscopic cholecystectomy.
Study Type
OBSERVATIONAL
Enrollment
33
During transvaginal rigid-hybrid NOTES cholecystectomy a intraoperative cholangiography is performed. After dissection of the Calot's triangle and distal clipping of the cystic duct, the cystic duct is incised and a regular cholangiography catheter is inserted. Contrast is injected and an image is obtained using an image-converter. After extraction of the catheter the cystic duct is clipped proximally. This intervention is performed in all patients included in the study.
Cantonal Hospital Baselland, Bruderholz, Department of Surgery
Bruderholz, Basel-Landschaft, Switzerland
Number of patients with successful introduction of cholangiography catheter into cystic duct (yes/no)
Was the introduction of the cholangiography catheter into the cystic duct successfull during transvaginal rigid-hybrid cholecystectomy.
Time frame: intraoperative
Time required for cholangiography
From incision of the cystic duct to clipping of the cystic duct
Time frame: intraoperative
Intraoperative complications
Time frame: intraoperative
postoperative complications
Time frame: within 6 weeks from surgery
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