Transvaginal cholecystectomy without abdominal ports.
BACKGROUND
Pioneers in natural orifice transvaginal cholecystectomy are in search of an approach that uses less percutaneous assistance. The approach must be safe and affordable. The authors present a successful cholecystectomy using a technique of transvaginal operative laparoscopy with no abdominal ports.


METHODS
A 24-year-old female patient with gallbladder lithiasis underwent a natural orifice cholecystectomy with only one transvaginal 12-mm port, using a laparoscope with a working channel. We used laparoscopic instruments 5 mm in diameter by 43cm in length (including a needle holder, Maryland dissector clamp, spatula, hook, suction cannula, and clip applier) and assistance with percutaneous marionette leashes.


RESULTS
The patient stayed in the hospital for 24 hours and was discharged without pain and without scars.


CONCLUSIONS
Transvaginal cholecystectomy performed using an operative laparoscope with a working channel is possible in select cases. This technique requires no abdominal ports and is an alternative to culdolaparoscopy or hybrid transvaginal procedures with flexible endoscopes.
Davila
Fausto
F
Hospital Regional, Poza Rica, SESVER, Veracruz, México.
Tsin
Daniel A
DA
Dominguez
Guillermo
G
Davila
Ulises
U
Jesús
Ramiro
R
Gomez de Arteche
Adriana
A
D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation / Q000379:methods*; D041761:Cholecystolithiasis / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D006801:Humans; D020706:Laparoscopes; D014621:Vagina; D055815:Young Adult