Removal of gallbladder

Transvaginal hybrid minilaparoscopy-assisted cholecystectomy (N.O.T.E.S. technique)

Transvaginal hybrid minilaparoscopy-assisted cholecystectomy (N.O.T.E.S. technique).
Professor Puchkov K.V. is performing an operation (2015).

In this film a simple technique of removal of a gallbladder, using the transvaginal access with laparoscopic assistance, is presented. The instruments that are used, are as follows: 3 troacars-10 mm, 3 mm, 5 mm and instruments of Karl Storz Company. The technique of transvaginal introduction of the first troacar, under the visual guidance of a laparoscope, is presented. Visualization of the surgical site is done due to a 10 mm (the length is 55cm) hard laparoscope. Attention is paid to the consecutive and safe dissection of the structures of Calot’s triangle, using Endo Mini-Retract COVIDIEN instrument with clipping by means of a 5 mm MEDTRONIC COVIDIEN applicator via a 5 mm umbilical access. Removal of the gallbladder is done transvaginally with the closure of vaginal wound by one stitch, where synthetic resorbable thread has been used.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.