A self-approximating transluminal access technique for potential use in NOTES: an ex vivo porcine model (with video)

Moyer, Matthew T.; Pauli, Eric M.; Haluck, Randy S.; Mathew, Abraham

doi:10.1016/j.gie.2007.03.1050

Cited by 49 publications

(35 citation statements)

References 9 publications

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“…The LSI prototype device also has promise, but so far there is only one report about its use in a survival animal model and further studies are needed to prove safety [15]. The SEMF technique has caused serious complications and cannot be endorsed for human trials in its current form, while the STAT technique has only been tested in a bench study [58][59][60].…”

Section: Discussionmentioning

confidence: 99%

“…After the injection with saline a submucosal tunnel was created using a needle knife, a grasping forceps and by blunt and pneumatic dissection with the leading edge of the endoscope. This was shown to be feasible in explanted pig stomach and esophagus, but was not successful in the porcine colon because of the thin wall and unintended perforations and tears [60].…”

Section: Notes Adaption Of the Peg=gastropexy Techniquementioning

confidence: 99%

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Access and closure for NOTES

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Section: Notes Adaption Of the Peg=gastropexy Techniquementioning

confidence: 99%

Access and closure for NOTES

et al. 2008

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“…STAT was performed as previously reported [12,14]. Briefly, a saline cushion was made in the proximal posterior wall of the stomach and incised using a needle knife to open the submucosal plane.…”

Section: Methodsmentioning

confidence: 99%

“…1) and involves the dissection of a submucosal tunnel for peritoneal and mediastinal access from the esophagus and stomach [11][12][13][14]. The tunnel allows the mucosal incision to be separated from the serosal incision by several centimeters, as in a ''Z'' tract.…”

mentioning

confidence: 99%

Reliability of gastric access closure with the self-approximating transluminal access technique (STAT) for NOTES

et al. 2011

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“…Technically difficult procedures are also reported. These include nephrectomy using the combined transgastric and transvesical approach [23,24], transcolonic delivery, transcutaneous magnetic manipulation, and fixation of composite hernia mesh [25] and distal pancreatectomy via a combined transvaginal-transcolonic approach [26].…”

Section: Current Applications Of Notesmentioning

confidence: 99%

NOTES: current status and expectations

Hussain

Mahmood

2008

Eur Surg

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Zusammenfassung. Grundlagen: Um die Größe von Hautinzisionen zu minimieren, hat sich die minimal invasive Chirurgie in den letzten Jahren weiterentwickelt. Der faszinierendste Schritt ist nun Natural Orifice Tranlumenal Endoscopic Surgery (NOTES), also endoskopische Chirurgie über natürliche Körperöffnungen. In dieser Arbeit wird der derzeitige Stand von NOTES evaluiert.Methodik: Ü bersicht zu NOTES. Ergebnisse: NOTES wird derzeit an Tiermodellen optimiert und findet auch schon Anwendung am Menschen. Die technische Herausforderung besteht in der Entwicklung von neuen, flexiblen, multifunktionalen Endoskopen und Instrumenten, um NOTES sicher, rasch und flexibel zu gestalten.Schlussfolgerungen: NOTES ist vielversprechend und wird die chirurgische Routine durch minimales operatives Trauma und schnelle Genesung revolutionieren. Die Zukunft wird ideale Anwendungen für NOTES zeigen.Schlüsselwörter: NOTES, Endoskopie, Chirurgie, minimal invasiv, Hybrid-Eingriff.Summary. Background: Surgeons are striving to minimize the surgical incisions. Minimal invasive surgery is progressing over the years. The most exciting move is Natural Orifice Transluminal Endoscopic Surgery. The aim of this article is to evaluate the current evolution and future prospects of natural orifice transluminal endoscopic surgery.Methods: Medline search was used for the published articles through March-May 2008 relevant to natural orifice transluminal endoscopic surgery. About 147 articles were published and 85 papers were selected for this review.Results: Extensive activities are on to study NOTES on animal models, to try NOTES on human beings, and to provide training, research and scientific meetings. Technical refinement to produce an ideal flexible scope and access closure devices is continuing to make NOTES procedures quick, safe and practical.Conclusions: The current NOTES situation is promising .We expect NOTES to refine current surgical practice to provide minimal operative and postoperative trauma and rapid recovery through useful clinical applications in the near future.Keywords: Natural orifice transluminal endoscopic surgery (NOTES), hybrid procedure, state of the art, minimal invasive surgery, endoscopy.

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A self-approximating transluminal access technique for potential use in NOTES: an ex vivo porcine model (with video)

Cited by 49 publications

References 9 publications

Access and closure for NOTES

Access and closure for NOTES

Reliability of gastric access closure with the self-approximating transluminal access technique (STAT) for NOTES

NOTES: current status and expectations

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