Feasibility study of EUS-NOTES as a novel approach for peroral cholecysto-gastrostomy.
Chirurgia (Bucur)
; 108(1): 62-9, 2013.
Article
en En
| MEDLINE
| ID: mdl-23464772
ABSTRACT
BACKGROUND:
EUS-guided cholecysto-gastrostomy might be a useful minimally invasive procedure used for salvage drainage in advanced pancreaticobiliary cancers, but also for drainage of the gallbladder in acute cholecystitis in patients deemed unfit for laparoscopic surgery.OBJECTIVE:
Direct EUS-guided cholecysto-gastrostomy with placement of a double flanged expandable metal stents. DESIGN/SETTING:
This was an animal pilot/feasibility study.INTERVENTIONS:
The feasibility of EUS-guided cholecysto-gastrostomy through a transgastric approach was tested in five pigs. Specially designed EUS-guided devices for initial access in the gallbladder and a double flanged expandable metal stent were used in this study.RESULT:
The results showed the feasibility of EUS-guided cholecysto-gastrostomy based on prototype devices for access in the gallbladder and transgastric stent placement.LIMITATIONS:
Survival feasibility study with prototype devices in a small number of animals.CONCLUSIONS:
EUS guided cholecysto-gastrostomy in a porcine model is feasible but technically demanding due to anatomical limitations of the pig and/or complexity of the procedure and the preliminary stage of development of the accessory devices. ABBREVIATIONS NOTES - Natural Orifice Translumenal Endoscopic Surgery; EUS - Endoscopic Ultrasound; EUSFNA - Endoscopic Ultrasound Fine Needle Aspiration.
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Base de datos:
MEDLINE
Asunto principal:
Colecistectomía
/
Gastrostomía
/
Endosonografía
/
Cirugía Endoscópica por Orificios Naturales
/
Boca
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Chirurgia (Bucur)
Año:
2013
Tipo del documento:
Article