A Comprehensive Review of Single-Incision Laparoscopic Surgery (SILS) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) Techniques for Cholecystectomy |
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Authors: | Ronald Scott Chamberlain Sujit Vijay Sakpal |
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Institution: | (1) Department of Surgery, Saint Barnabas Medical Center, 94 Old Short Hills Road, Livingston, NJ 07039, USA;(2) Department of Surgery, University of Medicine & Dentistry of New Jersey, Newark, NJ, USA |
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Abstract: | Introduction Surgery of the gallbladder has evolved tremendously over the last century. Laparoscopic cholecystectomy is the gold standard
for gallbladder removal and the most common laparoscopic procedure worldwide. In recent times, innovative techniques of natural
orifice transluminal endoscopic surgery (NOTES) and single-incision laparoscopic surgery (SILS) have been applied in gallbladder
removal as a step towards even more less-invasive procedures.
Discussion While NOTES and SILS represent the advent of essentially scarless surgery, limited applications of these technologies in human
subjects exists. In this article, we present a comprehensive review of the potential benefits, limitations and risks of these
novel techniques.
Conclusion While much remains unknown and unanswered surrounding these procedures, it is clear that extensive research and development
with regards to the ethics and the technical aspects of these procedures as well as randomized studies to compare them with
traditional laparoscopy are essential. |
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Keywords: | Cholecystectomy Natural orifice transluminal endoscopic surgery NOTES Single-incision laparoscopic surgery SILS |
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