Pavlidis et al promote a one-stage procedure in low-risk patients involving enterolithotomy or gastrotomy with removal of the obstructing gallstone followed by a cholecystectomy and fistula closure during the same procedure.
25) In our case a laparotomy was performed with a gastrotomy once the large stone was confirmed to be in the duodenum.
The standard treatment is a gastrotomy
and extraction of the bezoar, as was the case in our patient.
The bezoar was removed from the stomach via a gastrotomy
and was followed by gastrorrhaphy.
SafeStitch has a magnetic gallbladder retractor that would enable improved operative exposure for gallbladder removal as well as a method and istrument to open and close the gastrotomy
necessary for NOTES.
Successful Gastrotomy Closure Technique Overcomes Main Hurdle to Widespread Adoption of Incisionless NOTES Surgery
In later cases, he used USGI's EOS to close the gastrotomy through the patient's mouth following a NOTES appendectomy, another U.
The ability to close the gastrotomy from inside the stomach is considered the major hurdle to the widespread adoption of Incisionless NOTES surgery.
Gastrotomy Closure Considered Largest Hurdle in Adoption of Incisionless Natural Orifice Translumenal Endoscopic Surgery (NOTES)
the leader in the emerging field of Incisionless Surgery, today announced that its EndoSurgical Operating System(TM) (EOS) is the first surgical platform to effectively close a gastrotomy (an incision in the stomach wall) during a NOTES procedure in the US.