Transvaginal single port cholecystectomy

Surg Laparosc Endosc Percutan Tech. 2011 Jun;21(3):203-6. doi: 10.1097/SLE.0b013e3182138fe6.


Background: Transvaginal cholecystectomy encourages researchers to develop new hybrid or pure techniques for natural orifice surgery. We present an approach that combines flexible endoscopes, rigid instruments, and percutaneous needles.

Methods: A 26-year-old female patient with cholelithiasis underwent a single-port culdolaparoscopy cholecystectomy at "Hospital Regional Poza Rica" (Poza Rica, Mexico) on July 2008. The surgery was performed with only 1 transvaginal 16 mm in diameter by 32 cm in length port. The instruments included a gastroscope, laparoscopic 5 mm in diameter by 43 cm in length instruments, percutaneous reins, and hook needle.

Results: The patient was discharged 24 hours after surgery, which is customary for the hospital, without pain or visible scars.

Conclusions: Single transvaginal port cholecystectomy using a gastroscope and laparoscopic 5 mm instruments in a parallel path is a feasible procedure in selected patients. This technique requires no abdominal ports assistance.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cholecystectomy, Laparoscopic / methods*
  • Cholelithiasis / surgery*
  • Female
  • Follow-Up Studies
  • Gastroscopes
  • Humans
  • Laparoscopes*
  • Vagina / surgery*