Surgery Without Scars

NOTES cholecystectomy in a woman via a transvaginal approach.

University hospital. Patient The patient was a 30-year-old woman with symptomatic cholelithiasis. INTERVENTION: The procedure was carried out by a multidisciplinary team using a standard double-channel flexible videogastroscope and standard endoscopic instruments. The placement of a 2-mm needle port, mandatory to insufflate carbon dioxide and to monitor the pneumoperitoneum, was helpful for further retraction of the gallbladder. At no stage of the procedure was there need for laparoscopic assistance. All of the principles of cholecystectomy were strictly adhered to.