Natural orifice transluminal endoscopic surgery (NOTES): cholecystectomy
Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S)
Record ID 32011000731
English
Authors' recommendations:
The overall evidence on NOTES transvaginal cholecystectomy remains limited. The evidence retrieved indicates that the procedure is feasible; however, there is insufficient data to determine if it is comparable to conventional laparoscopic cholecystectomy. In addition, it is important to note that in all three included studies, the investigators performed hybrid NOTES techniques which utilised an abdominal trocar. Transvaginal cholecystectomy appears to be safe and does not appear to affect sexual function after a 2 week recovery period.Hybrid cholecystectomy is becoming the only viable and safe clinical application at this time for a NOTES approach to the gallbladder. In addition, hybrid techniques also provide a bridge between laparoscopy and pure NOTES, that allows researchers and clinicians to expand their experience before pure transluminal techniques are utilised. Our search indicates that interest in transvaginal NOTES is likely to increase over time and this is reflected by the number of clinical trials due for completion in 2010.Additional studies are required before transvaginal NOTES can be performed routinely. Considering the interest and the potentially rapid diffusion of this technique, it is recommended that transvaginal cholecystectomy is monitored for 12 months for new evidence.
Details
Project Status:
Completed
URL for project:
http://www.horizonscanning.gov.au/internet/horizon/publishing.nsf/Content/8DA46B03741CB76FCA2577570016E96C/$File/PS%20Transvaginal%20cholecystectomy.pdf
Year Published:
2010
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Australia
MeSH Terms
- Natural Orifice Endoscopic Surgery
Contact
Organisation Name:
Australian Safety and Efficacy Register of New Interventional Procedures-Surgical
Contact Address:
ASERNIP-S 24 King William Street, Kent Town SA 5067 Australia Tel: +61 8 8219 0900
Contact Name:
racs.asernip@surgeons.org
Contact Email:
racs.asernip@surgeons.org
Copyright:
Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.