Development of a New Access Device for Transgastric Surgery

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

“…16,33 Current research on developing instruments to aid performing pure NOTES is underway. 34,35 For further incorporation into humans, fundamental steps and elements present in all procedures, as well as practical and technical challenges, will need to be resolved.…”

Transvesical Endoscopic Port in Abdominal Surgery: An Updated Perspective

“…Using two endoscopes, or a single endoscope conjugated with a transabdominal trocar, Park et al [8] and Swanstrom et al [9] experienced significant difficulties performing cholecystectomy using shape-lock technology. These authors reported difficulties related to controlling the pneumoperitoneum and obtaining a stable platform for anatomy exposure, organ retraction, secure grasping, and adequate triangulation of instruments.…”

Transvesical endoscopic peritoneoscopy: Intra-abdominal scarless surgery for urologic applications

“…Using two endoscopes, or a single endoscope conjugated with a transabdominal trocar, Park et al [7] and Swanstrom et al [26] experienced significant difficulties performing cholecystectomy using shape-lock technology. Rolanda et al [20] introduced a combined transgastric and transvesical approach to effectively perform moderately complex upper-abdominal procedures such as cholecystectomy.…”

“…Several researchers who performed complex abdominal procedures via an isolated transgastric pathway have encountered problems with decreased triangulation and retroflexion [26]. Lower abdominal ports, however, may overcome some of these limitations, with added advantage in complex operations.…”