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J Gastroenterol Dig Dis 2017 | Volume 2, Issue 3
allied
academies
World Gastroenterological &
Gastroenterology and Endoscopy
October 30-31, 2017 | Toronto, Canada
World Congress on
Introduction: We conducted this retrospective study aiming to
evaluate the feasibility and efficacy of transrectal gallbladder
preserving cholecyctolithotomy (TRGPC) and transrectal
gallbladder preserving polypectomy (TRGPP) by pure notes.
Methods: 30 cases underwent transrectal gallbladder
preserving cholecyctolithotomy (TRGPC), 4 patients received
transrectal gallbladder preserving polypectomy (TRGPP) and 6
cases underwent combined transrectal gallbladder preserving
cholecyctolithotomy and polypectomy by pure NOTES and
one patient was performed by hybrid NOTES. As the figures
show, the balloon was placed in the transverse colon to block
the colonic lumen, and the distal colon cavity was disinfected
with povidone-iodine solution. An incision was made on the
anterior rectal wall 15-20cm from the anus. The endoscope was
advanced into the peritoneal cavity with liver and gallbladder
identified. The bile was aspirated and an incision on the
gallbladder wall was made. Stones and/or polyps were found
inside of the gallbladder.Stone extractor and biopsy forceps
were used to take out the stones. The polyps were coagulated
and removed by electric biopsy forceps. The muscular layer and
the adventitial layer were successively closed with endoclips.
The rectal incision was closed with endoclips and endoloops
tightly. At the end of the procedure, the balloon was pulled out
after being deflated.
Results:Themean operation timewas 180.5min. (89-467min.).
liquid diet was resumed 24 hours later. Postoperatively, 4 of the
41 patients felt mild abdominal distention which disappeared
within 12 hours when they were able to get off the bed.
Moreover, gallbladder drainage and peritoneal lavage were
used, and the abdominal pain relieved soon. All the patients
were discharged without any adverse events.
Conclusions: The usage of the detachable balloon can prevent
the operative field from fecal contamination effectively. To our
knowledge, this is the first human case series of transrectal
gallbladder preserving cholecyslithotomy and polypectomy by
pure notes.
Speaker Biography
Bingrong Liu is a Doctor of Medicine, Post doctor, Professor, Doctoral supervisor and
President of the GI Hospital, The First Affiliated Hospital of Zhengzhou University. He
initiated the painless gastroenteroscopic examinations in 2002 in the three northeast
provinces. And has been engaged in the work of interventional treatment of liver
cancer and achieved a good result. He and his team has initiated and completed a
series of pioneering techniques in the world in recent years. Every year since 2010,
Professor Bingrong Liu has shown himself at different international conferences as a
speaker, and has been invited by many countries to carry out academic reports and
demonstrations. He enjoys a high reputation both at home and abroad. In 2015, his
work on the Transrectal Gallbladder-Preserving Cholecystolithotomy via Pure NOTES”
won the eightieth American Digestive Association (ACG) video contest champion.
e:
Bingrong Liu
Zhengzhou University, China
Transrectal gallbladder preserving cholecystolithotomy and polypectomy by pure notes