This ground breaking surgery was performed by Dr. Sotelo and his team at the Instituto Medico La Floresta in Caracas, Venezuela on March 7, 2009.
The majority of the intra-operative endoscopic visualization and tissue mobilization for the natural orifice transluminal endoscopic surgery (NOTES) nephrectomy was performed transvaginally, with observation and occasional assistance from an intra-umbilical Tri-port. No extra-umbilical incisions were needed.
The patient was a 65 year-old female with a 6 cm left kidney tumor and a prior history of hysterectomy. The operation lasted 220 minutes followed by a two day hospital stay. The patient experienced no complications and was discharged from the hospital with no visible abdominal scar. Today, six days post-operative, the patient continues to do well in excellent recovery.
Dr. Sotelo remarks, "This concept of using the Tri-port for transvaginal NOTES nephrectomy was first described in a cadaveric study presented at the World Congress of Endurourology in 2008 by Drs. Monish Aron, Mihir Desai, and Inderbir Gill. I sought their advice and collaboration in our operation. The procedure went well and has great potential for the future."
Rene Sotelo | EurekAlert!
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