Transvaginal cholecystectomy is associated with reduced pain and decreased analgetic requirements compared to laparoscopic cholecystectomy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : M. Hensel1, U. Schernikau2, A. Schmidt1, G. Arlt2
- چاپ و سال / کشور: 2011
Description
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 (TVChE) 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.
Eur Surg (2011) 43/3: 135–139 DOI 10.1007/s10353-011-0015-1 Received December 12, 2010; accepted after revision June 14, 2011
