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NOSCAR announces first NOTES transoral and transvaginal gallbladder removals performed as part of US multicenter human trial
Date:7/7/2010

OAK BROOK, Ill., July 7, 2010 The Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR), a joint effort of the American Society for Gastrointestinal Endoscopy (ASGE) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), announces the completion of the first transoral and transvaginal cholecystectomies (gallbladder removal) using Natural Orifice Translumenal Endoscopic Surgery (NOTES) in a multicenter human trial in the United States. Santiago Horgan, MD, at the University of California, San Diego School of Medicine, removed the gallbladder of a patient through the mouth and John Romanelli, MD, Baystate Medical Center in Springfield, Mass., removed the gallbladder of a patient through the vagina as part of the NOSCAR human trials. NOTES is performed by using the patient's natural openings for surgery. These human trials are the first in the world comparing oral and transvaginal NOTES to traditional laparoscopy.

"NOSCAR congratulates Drs. Horgan and Romanelli for these major accomplishments. These are the first NOTES transoral and transvaginal cholecystectomies in a U.S. multicenter human trial and are a big step forward in the evolution of this revolutionary procedure," said Michael L. Kochman, MD, NOSCAR Research Subcommittee co-chair.

Cholecystectomy or gallbladder removal is one of the most common surgeries in the U.S.; approximately 750,000 are performed annually. This study uses the mouth or vagina as routes to the gallbladder. Rather than making up to five incisions in the abdominal wall, tools are passed down the mouth and through a hole created in the stomach (transgastric) or through the vagina (transvaginal). Dr. Horgan opted to make a tiny incision in the stomach, requiring no stitches, to pass a camera and to inflate the abdomen for optimal safety and visibility. The actual gallbladder removal was performed entirely through the mouth. Dr. Romanelli also made a small vaginal incision for sim
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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