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 ORIGINAL ARTICLE
Year : 2017  |  Volume : 13  |  Issue : 3  |  Page : 176-181

Natural orifice transluminal endoscopic surgery (hybrid) cholecystectomy: The Dhillon technique


1 Department of Minimally Invasive and Bariatric Surgery, Max Super Speciality Hospital, Mohali, Punjab, India
2 Department of Advanced Gynaecologic Laparoscopy and Hysteroscopy, Max Super Speciality Hospital, Mohali, Punjab, India
3 Gian Sagar Medical College, Patiala, Punjab, India

Correspondence Address:
Kanwarjit Singh Dhillon
H. No 316, Sector 71, Mohali - 160 071, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.207838

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Introduction: This study presents a novel technique to perform cholecystectomy and assess its outcome and feasibility. Patients and Methods: This study presents the novel Dhillon technique and experience of hybrid natural orifice transluminal endoscopic surgery (NOTES) technique, that is, laparoscopic-assisted transvaginal cholecystectomy. We have evaluated the outcomes in terms of cosmesis, post-operative recovery and analgesic requirement. The study included 257 patients who underwent hybrid NOTES cholecystectomy at single tertiary hospital. The biographical data, surgical time, pain score on day 1 and 2, need of analgesia, intra- and post-operative complication and aesthetic assessment on day 7 were recorded. Results: Out of a total of 1100 cases of laparoscopic cholecystectomy 257 had hybrid NOTES cholecystectomy. Only two of these cases were converted to standard laparoscopic cholecystectomy. The mean operative time was 31.5 ± 5.1 (25–40) min. None of the patients had any complication or biliary leakage. The mean pain score on day 1 and 2 was 3.6 ± 0.4 (3–4) and 1.0 ± 0.06 (1–2), respectively. The mean paracetamol (analgesic) dose requirement was 6.1 ± 0.6 (4–6.9) g. The aesthetic score was excellent in all the cases. Conclusions: Using the present technique of hybrid NOTES is beneficial in terms of cosmetic results, lesser need of analgesic and shorter hospital stay.






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