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WebSurg Exceptional Newsletter - April 2007

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      WebSurg Exceptional Newsletter - April 2007

       

       

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      Operation Anubis: A New Step in NOTES History!

      Dear Member,

      WeBSurg is happy to inform you that the IRCAD-EITS team has successfully performed the first totally NOTES cholecystectomy at the University Hospital of Strasbourg, France.

      On April 2nd 2007, at the University Hospital of Strasbourg, Professor Jacques Marescaux and his team, B. Dallemagne, MD, S. Perretta, MD, D. Mutter, MD, PhD, FACS, A. Wattiez, MD, D. Coumaros, MD, successfully performed the first no scar surgery. This first human incisionless operation was carried out using a flexible endoscope for transvaginal cholecystectomy in a 30-year-old woman with symptomatic gallstones.

      This world first, called "operation Anubis", was presented at the Japanese Congress of Surgery in Osaka on April 6th and during the Congress of the Society of American Gastrointestinal Endoscopic Surgery (SAGES) last week-end in Las Vegas .

      Anubis was the ancient god in Egyptian mythology who restored Osiris to life through mummification using long, flexible instruments. The project was named after this reference.

      Change is part of surgery and change is never easy to accept. At the dawn of surgery, excellence was associated with big incisions: "big scar - big surgeon". In 1987, Philippe Mouret performed the first laparoscopic cholecystectomy. The Anglo-Saxon world called it the "second French revolution": minimally invasive surgery was born representing one of the greatest surgical evolutions of the 20th century.

      Since its inception in 2004 geared up by A. Kalloo, MD, the idea of endoluminal surgery has been till now only experimental, except some cases of hybrid appendectomies performed by N. Reddy in India .

      An important step was made by the Columbia group in New York , United States on March 20th, 2007 when a hybrid transvaginal cholecystectomy was performed with the assistance of three laparoscopic trocars (New York Times, April 20th, 2007 - San Francisco Chronicle, April 20th, 2007 - SAGES Annual Meeting, Las Vegas , April 22nd, 2007).

      Operation Anubis performed without incision, save from using a 2mm needle allowing for insufflation and control of intra-abdominal pressure, represents an extremely important step towards totally non-invasive surgery. The next challenge will be to validate other approaches, the transgastric route being the most appealing.

      The justification of this technique are: the reduction or absence of postoperative pain, ease of access to some organs, the absence of trauma to the abdominal wall, ideal cosmetic results and the psychological advantages of eliminating the bodily trauma represented by surgery. Lastly and as pointed out by P. Swain, this provides proof that there are no limits to how human ingenuity and technology can reduce the physical and emotional trauma related to the surgical act.

      The successful performance of the operation at the University Hospital in Strasbourg , is the results of three years of research under the Anubis project, labelled by the "Therapeutic Innovation Biocluster".

      This success exemplifies the healthy collaboration between different agencies: the government for initiating a dynamic biocluster, a world-renowned Research Institute (IRCAD-EITS University Louis Pasteur Strasbourg), a leader in the field of minimally invasive surgery (Karl Storz Endoscope ®), and the University Hospital of Strasbourg a key element responsible for a rapid transition of research into a clinical application available to patients.


      Click here for further information and access video footage of the intervention.


      Yours faithfully,

      Prof. Jacques MARESCAUX, MD, FRCS, FACS
      President of IRCAD/EITS
      Editor-in-Chief - WebSurg

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