Surgical Endoscopy

, Volume 25, Issue 6, pp 2015–2019 | Cite as

Transvesical peritoneoscopy with rigid scope: feasibility study in human male cadaver

  • Frederico Branco
  • Giovannalberto Pini
  • Luís Osório
  • Victor Cavadas
  • Rui Versos
  • Mário Gomes
  • Riccardo Autorino
  • J. Correia-Pinto
  • Estevao Lima
Dynamic Manuscript

Abstract

Background

Transvesical port refers to the method of accessing the abdominal cavity through a natural orifice (i.e., urethra) under endoscopic visualization. Since its introduction in 2006, various reports have been published describing different surgical interventions using a rigid ureteroscope in a porcine model. The aim of this study was to test the access and feasibility of peritoneoscopy by using a rigid ureteroscope in a human male cadaver.

Methods

Two adult male cadavers were used to perform the procedures. A rigid ureteroscope was used for the creation of transvesical access into the peritoneal cavity. Peritoneoscopy, liver biopsy, and identification and manipulation of the ileocecal appendix were performed.

Results

Transvesical access into the peritoneal cavity was quickly established. The rigid ureteroscope easily allowed visualization of the abdominal cavity with good image quality. Liver biopsy and manipulation of ileocecal appendix were carried out without difficulties.

Conclusions

Peritoneoscopy, liver biopsy, and ileocecal appendix manipulation using a rigid ureteroscope through a transvesical port is feasible in a cadaver model. The development of a specific rigid scope for the transvesical port might herald a promising future for this NOTES access.

Keywords

Cadaver Endoscopy Surgery Transvesical NOTES 

Notes

Disclosures

Frederico Branco, Giovannalberto Pini, Luís Osório, Victor Cavadas, Rui Versos, Mário Gomes, Riccardo Autorino, J. Correia-Pinto, and Estevao Lima have no conflicts of interest or financial ties to disclose.

Supplementary material

Supplementary material 1 (MPG 59986 kb)

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Frederico Branco
    • 1
  • Giovannalberto Pini
    • 2
  • Luís Osório
    • 1
  • Victor Cavadas
    • 1
  • Rui Versos
    • 3
  • Mário Gomes
    • 1
  • Riccardo Autorino
    • 5
  • J. Correia-Pinto
    • 1
    • 4
  • Estevao Lima
    • 1
    • 6
  1. 1.Life and Health Research Institute, School of Health SciencesUniversity of MinhoBragaPortugal
  2. 2.Department of UrologyUniversity of Modena and Reggio EmiliaModenaItaly
  3. 3.Department of UrologyCentro Hospitalar do Alto AveGuimarãesPortugal
  4. 4.Department of Pediatric SurgeryHospital de São JoãoPortoPortugal
  5. 5.Glickman Urological and Kidney Institute, Cleveland ClinicClevelandUSA
  6. 6.Department of UrologyHospital de BragaBragaPortugal

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