Current Evidence in Gastrointestinal Surgery: Natural Orifice Translumenal Endoscopic Surgery (NOTES)

Keller, Deborah S.; Delaney, Conor P.

doi:10.1007/s11605-013-2277-3

Cited by 9 publications

(2 citation statements)

References 59 publications

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“…In October 2005, a scientific working group was also founded and named Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) to study the safety, efficacy and indications, as well as the ethical use of NOTES in humans; 5‐year progress on NOTES was published subsequently. Extensive investigation was carried out in animal models and cadavers exploring the safety and efficacy of NOTES, with a gradual transition to phase I clinical trials. Soon another milestone was realized, with the first transgastric cholecystectomy in a human performed by Jacques Marescaux.…”

Section: The Modern Notes Eramentioning

confidence: 99%

Natural-orifice transluminal endoscopic surgery

Atallah

Martin‐Perez

Keller

et al. 2015

British Journal of Surgery

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NOTES experimentation in the preclinical setting has increased substantially. There has also been a significant increase in the application of NOTES in humans in the past decade. Enthusiasm for NOTES should be tempered by the risk of incurring NOTES-specific morbidity. Surgeons should carefully consider patient preferences regarding this new minimally invasive option, as opinions are not unanimously supportive of NOTES. As technical limitations are overcome, the clinical application of NOTES is predicted to increase. It is paramount that, when this complex technique is performed on humans, it is applied judiciously by appropriately trained experts with outcomes recorded in a registry.

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Section: The Modern Notes Eramentioning

confidence: 99%

Natural-orifice transluminal endoscopic surgery

Atallah

Martin‐Perez

Keller

et al. 2015

British Journal of Surgery

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“…NOTES benefits include improved cosmesis, and improved postoperative pain. 1 According to reported statistics, 2 916 patients received NOTES between 2007 and 2011 worldwide, in which 79% were transvaginal. The natural orifice operative approach remains low in case volume compared with laparoscopic interventions and tremendous progress is needed to make this surgery practical in clinical application.…”

Section: Introductionmentioning

confidence: 99%

Performance of a Multifunctional Robot for Natural Orifice Transluminal Endoscopic Surgery

et al. 2018

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Natural orifice transluminal endoscopic surgery (NOTES) has gained attention as a revolutionary technique with its potential advantages in eliminating skin incisions, shortening recovery time, and decreasing postoperative complications; however, its practical application is still constrained by the complexity of navigation through the surgical field and paucity of available instruments. Current progress on NOTES focuses on designing flexible articulated robots or fully inserted bimanual robots to address the limitations. However, the lack of multitasking tools, trade-offs between size and power, and lack of sufficient surgical force are too often neglected. The authors designed a bimanual robot with a multifunctional manipulator, which can realize on-site instrument-change according to surgeon needs. An articulated drive mechanism with 2 independent curvature sections was designed to deliver the robot to the surgical site. A corresponding reconfiguration operation sequence was formulated to ease insertion and thereby decrease the design trade-off between size and power. This article presents 3 benchtop and animal tests to evaluate the robotic surgery approach and demonstrate the effectiveness of the robot.

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