 |
|
Is Natural Orifice Transluminal Endoscopic Cholecystectomy as Safe as Laparoscopic Cholecystectomy?—Reply
Jacques Marescaux, MD, FRCS;
Bernard Dallemagne, MD;
Silvana Perretta, MD;
Arnaud Wattiez, MD;
Didier Mutter, MD, PhD;
Dimitri Coumaros, MD
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
In reply
We thank Dr Hall for his comments on the future of NOTES. However, we believe it is too early to conclude that transluminal cholecystectomy is not as safe as laparoscopic cholecystectomy. We all remember the similar judgments given during the description of the first laparoscopic cholecystectomy. Our article does indeed ask what the rationale is behind the incision of a generally healthy hollow organ, whether it should be incised, and what the risks are related to this opening.
During a transgastric or transcolonic approach, the 0.25% chance of fistulas to which Dr Hall referred are indeed unacceptable during surgery for benign conditions. Tolerance has to be close to 0. Numerous research programs aimed at finding technical solutions that would allow us to approach the tolerance threshold are currently . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED ARTICLE
Surgery Without Scars: Report of Transluminal Cholecystectomy in a Human Being
Jacques Marescaux, Bernard Dallemagne, Silvana Perretta, Arnaud Wattiez, Didier Mutter, and Dimitri Coumaros
Arch Surg. 2007;142(9):823-826.
ABSTRACT
| FULL TEXT
RELATED LETTER
Is Natural Orifice Transluminal Endoscopic Cholecystectomy as Safe as Laparoscopic Cholecystectomy?
Robert C. Hall
Arch Surg. 2008;143(6):604.
EXTRACT
| FULL TEXT
|
