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Article: Transvaginal cholecystectomy with endoscopic submucosal dissection instruments and single-channel endoscope: A survival study in porcine model

TitleTransvaginal cholecystectomy with endoscopic submucosal dissection instruments and single-channel endoscope: A survival study in porcine model
Authors
KeywordsNatural orifice transluminal endoscopic surgery
NOTES
Porcine model
Transvaginal cholecystectomy
Issue Date2009
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.surgical-laparoscopy.com
Citation
Surgical Laparoscopy, Endoscopy And Percutaneous Techniques, 2009, v. 19 n. 1, p. 29-33 How to Cite?
AbstractBackground: Natural orifice transluminal endoscopic surgery has received much attention in recent years. Instead of using prototype devices, we explored the feasibility and practicability of using readily available off-the-shelf devices to perform Natural Orifice Transluminal Endoscopic Surgery in an animal model. Methods: Twenty pigs underwent transvaginal cholecystectomy, 16 of which were used for surviving study after the procedure. A single-channel endoscope and standard instruments for endoscopic submucosal dissection (hook knife and Insulated Tip knife) were used for cholecystectomy. A single 5-mm laparoscopic port was inserted for gallbladder retraction. Results: Completion of the procedure was achieved in all 20 pigs. In 16 pigs, which were used for surviving study after surgery, 15 survived. Death of 1 pig was due to leakage of urine from the colpotomy and urogenital sinus. Technical success was achieved in the access, dissection, and retrieval of specimen in all the animals. Conclusions: A hybrid approach with single-channel endoscope together with endoscopic submucosal dissection instruments for transvaginal cholecystectomy was shown to be safe and feasible in this pig model and this serves as a good training model before application of this technique in human. A distinct pattern of complications was identified and needed to be addressed. Copyright © 2009 by Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/59929
ISSN
2015 Impact Factor: 1.019
2015 SCImago Journal Rankings: 0.574
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorFan, JKMen_HK
dc.contributor.authorTong, DKHen_HK
dc.contributor.authorLaw, Sen_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2010-05-31T04:00:20Z-
dc.date.available2010-05-31T04:00:20Z-
dc.date.issued2009en_HK
dc.identifier.citationSurgical Laparoscopy, Endoscopy And Percutaneous Techniques, 2009, v. 19 n. 1, p. 29-33en_HK
dc.identifier.issn1530-4515en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59929-
dc.description.abstractBackground: Natural orifice transluminal endoscopic surgery has received much attention in recent years. Instead of using prototype devices, we explored the feasibility and practicability of using readily available off-the-shelf devices to perform Natural Orifice Transluminal Endoscopic Surgery in an animal model. Methods: Twenty pigs underwent transvaginal cholecystectomy, 16 of which were used for surviving study after the procedure. A single-channel endoscope and standard instruments for endoscopic submucosal dissection (hook knife and Insulated Tip knife) were used for cholecystectomy. A single 5-mm laparoscopic port was inserted for gallbladder retraction. Results: Completion of the procedure was achieved in all 20 pigs. In 16 pigs, which were used for surviving study after surgery, 15 survived. Death of 1 pig was due to leakage of urine from the colpotomy and urogenital sinus. Technical success was achieved in the access, dissection, and retrieval of specimen in all the animals. Conclusions: A hybrid approach with single-channel endoscope together with endoscopic submucosal dissection instruments for transvaginal cholecystectomy was shown to be safe and feasible in this pig model and this serves as a good training model before application of this technique in human. A distinct pattern of complications was identified and needed to be addressed. Copyright © 2009 by Lippincott Williams & Wilkins.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.surgical-laparoscopy.comen_HK
dc.relation.ispartofSurgical Laparoscopy, Endoscopy and Percutaneous Techniquesen_HK
dc.subjectNatural orifice transluminal endoscopic surgeryen_HK
dc.subjectNOTESen_HK
dc.subjectPorcine modelen_HK
dc.subjectTransvaginal cholecystectomyen_HK
dc.titleTransvaginal cholecystectomy with endoscopic submucosal dissection instruments and single-channel endoscope: A survival study in porcine modelen_HK
dc.typeArticleen_HK
dc.identifier.emailLaw, S: slaw@hku.hken_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, S=rp00437en_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/SLE.0b013e3181902ba7en_HK
dc.identifier.pmid19238063-
dc.identifier.scopuseid_2-s2.0-67649974088en_HK
dc.identifier.hkuros157626en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-67649974088&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issue1en_HK
dc.identifier.spage29en_HK
dc.identifier.epage33en_HK
dc.identifier.isiWOS:000263618400007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridFan, JKM=23484820100en_HK
dc.identifier.scopusauthoridTong, DKH=8670837000en_HK
dc.identifier.scopusauthoridLaw, S=7202241293en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK

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