Transumbilical endoscopic cholecystectomy in a porcine model

Acta Cirurgica Brasileira

Hong-yi Zhu²  Fu Li¹  Ke-wei Li¹  Xi-wen Zhang¹  Jian Wang¹  Fu Ji¹ 

[1] ,Shanghai Jiaotong University School of Medicine Department of General Surgery Renji Hospital,China

关键词: Gallbladder;    Cholecystectomy;    Swine;   

DOI  :  10.1590/S0102-86502013001100003

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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