Transvaginal cholecystectomy is associated with reduced pain and decreased analgetic requirements compared to laparoscopic cholecystectomy |
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| Authors: | M Hensel U Schernikau A Schmidt G Arlt |
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| Institution: | (1) Department of Surgery, University of California San Diego, 200 W. Arbor Drive, 8402, San Diego, CA 92103, USA;(2) Department of General Surgery, Buenos Aires Hospital de Clinicas, Buenos Aires, Argentina;(3) Department of Gastroenterology, University of California San Diego, San Diego, CA, USA;(4) Department of Reproductive Medicine, University of California San Diego, San Diego, CA, USA; |
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| Abstract: | BACKGROUND: Natural orifice transluminal endoscopic surgery (NOTES) is regarded as less invasive than laparoscopic surgery.
However, the assumed advantages of NOTES – such as reduced pain and faster recovery of patients should be verified. METHODS:
In this prospective controlled study 30 women undergoing transvaginal cholecystectomy (TV-ChE) were compared with 30 women
undergoing conventional laparoscopic cholecystectomy (LAP-ChE). RESULTS: Compared to the LAP-ChE group, the women of the TV-ChE
group reported less postoperative pain and less analgesic consumption. Both the duration of stay in the recovery room and
the hospital stay were shorter in the TV-ChE group. After a follow-up of 3 months none of the patients of the TV-ChE group
complained of dyspareunia or other colpotomy-related complications. CONCLUSIONS: TV-ChE is a safe and less invasive surgical
technique. Compared to LAP-ChE there are some advantages such as less need for analgesics, faster mobilization, more comfortable
recovery and shorter hospital stay. |
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