Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus
Gallstone ileus is a rare mechanical bowel obstruction, and previously reported cases have been treated laparoscopically with good results. Although transvaginal hybrid NOTES without a minilaparotomy has been reported to decrease the incidence of surgical wound complications, to our knowledge, this...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/9513874 |
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| author | Takuya Shiraishi Naoki Tomizawa Tatsumasa Andoh Kazuhisa Arakawa Yasuaki Enokida Naoya Ozawa |
| author_facet | Takuya Shiraishi Naoki Tomizawa Tatsumasa Andoh Kazuhisa Arakawa Yasuaki Enokida Naoya Ozawa |
| author_sort | Takuya Shiraishi |
| collection | DOAJ |
| description | Gallstone ileus is a rare mechanical bowel obstruction, and previously reported cases have been treated laparoscopically with good results. Although transvaginal hybrid NOTES without a minilaparotomy has been reported to decrease the incidence of surgical wound complications, to our knowledge, this procedure has not been used previously to treat gallstone ileus. We present a case of a 63-year-old woman who underwent transvaginal hybrid NOTES procedure for treatment of gallstone ileus. This case was admitted to our hospital following acute-onset abdominal pain and vomiting. We diagnosed gallstone ileus with cholecystoduodenal fistula by computed tomography and performed totally laparoscopic surgery using only three 5 mm abdominal ports with transvaginal specimen extraction and enterectomy. The patient’s postoperative course was uneventful, and laparoscopic cholecystectomy and fistula repair were performed 8 months after the initial surgery. The patient experienced additional pain relief and good cosmetic outcomes. In conclusion, using transvaginal hybrid NOTES may become a future option to minimize the invasiveness of other laparoscopic procedures. |
| format | Article |
| id | doaj-art-122df5ef1ba94b11abce0301e955607b |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-122df5ef1ba94b11abce0301e955607b2025-02-03T01:12:15ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/95138749513874Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone IleusTakuya Shiraishi0Naoki Tomizawa1Tatsumasa Andoh2Kazuhisa Arakawa3Yasuaki Enokida4Naoya Ozawa5Department of Surgery, Japanese Red Cross Maebashi Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma 371-0014, JapanDepartment of Surgery, Japanese Red Cross Maebashi Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma 371-0014, JapanDepartment of Surgery, Japanese Red Cross Maebashi Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma 371-0014, JapanDepartment of Surgery, Japanese Red Cross Maebashi Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma 371-0014, JapanDepartment of Surgery, Japanese Red Cross Maebashi Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma 371-0014, JapanDepartment of Surgery, Japanese Red Cross Maebashi Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma 371-0014, JapanGallstone ileus is a rare mechanical bowel obstruction, and previously reported cases have been treated laparoscopically with good results. Although transvaginal hybrid NOTES without a minilaparotomy has been reported to decrease the incidence of surgical wound complications, to our knowledge, this procedure has not been used previously to treat gallstone ileus. We present a case of a 63-year-old woman who underwent transvaginal hybrid NOTES procedure for treatment of gallstone ileus. This case was admitted to our hospital following acute-onset abdominal pain and vomiting. We diagnosed gallstone ileus with cholecystoduodenal fistula by computed tomography and performed totally laparoscopic surgery using only three 5 mm abdominal ports with transvaginal specimen extraction and enterectomy. The patient’s postoperative course was uneventful, and laparoscopic cholecystectomy and fistula repair were performed 8 months after the initial surgery. The patient experienced additional pain relief and good cosmetic outcomes. In conclusion, using transvaginal hybrid NOTES may become a future option to minimize the invasiveness of other laparoscopic procedures.http://dx.doi.org/10.1155/2016/9513874 |
| spellingShingle | Takuya Shiraishi Naoki Tomizawa Tatsumasa Andoh Kazuhisa Arakawa Yasuaki Enokida Naoya Ozawa Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus Case Reports in Surgery |
| title | Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus |
| title_full | Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus |
| title_fullStr | Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus |
| title_full_unstemmed | Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus |
| title_short | Transvaginal Hybrid NOTES Procedure for Treatment of Gallstone Ileus |
| title_sort | transvaginal hybrid notes procedure for treatment of gallstone ileus |
| url | http://dx.doi.org/10.1155/2016/9513874 |
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