Natural Orifice Translumenal Endoscopic Surgery: Laparoscopic-Assisted Transvaginal Cholecystectomy
Natural Orifice Translumenal Endoscopic Surgery: Laparoscopic-Assisted Transvaginal Cholecystectomy
To determine the feasibility, safety, and efficacy of a novel minimally invasive approach to
 cholecystectomy and to establish a description of this novel translumenal technique in humans
 at this institution.
Inclusion Criteria:

 -  Females who are postmenopausal or who no longer wish to bear children

 -  Females >25 years old and <65 years old

 -  Diagnosis of biliary disease requiring cholecystectomy

 -  American Society of Anesthesiology (ASA) Class I or II

 -  Females who are able to understand and willing to sign an informed consent document

 Exclusion Criteria:

 -  Pregnancy

 -  BMI >= 30

 -  Patients who are still interested in childbearing

 -  Patients taking immunosuppressive medications or who are immunocompromised

 -  Patients with acute cholecystitis or history of acute cholecystitis ( as defined by
 right upper quadrant pain with history of fevers and/or elevated white blood cell
 count and/or positive ultrasound findings, ie, gallbladder wall thickening or
 pericholecystic fluid)

 -  Patients with suspicion of gallbladder cancer

 -  Patients with history of previous open abdominal surgery

 -  Patients with untreated common bile duct stones