Human NOTES Cholecystectomy: Transgastric Hybrid Technique

Auyang, Edward D.; Hungness, Eric S.; Vaziri, Khashayar; Martin, John A.; Soper, Nathaniel J.

doi:10.1007/s11605-009-0813-y

Cited by 81 publications

(50 citation statements)

References 7 publications

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“…Until 31 August 2009 many NOTES procedures on a porcine model or in humans were performed, for example: cholecystectomy, appendectomy, staging procedures, hemicolectomy, adhesiolysis, gynaecological or bariatric procedures [2,[4][5][6][7][8][9]. There have been 28 pure NOTES and 183 hybrid NOTES (laparoscopically assisted NOTES) procedures published so far.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic pure transgastric NOTES in an intensive therapy unit patient

Michalik¹,

Bobowicz²,

Trybull³

et al. 2011

Videosurgery and Other Miniinvasive Techniques

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A b s t r a c t Natural orifice transluminal endoscopic surgery (NOTES) is a natural consequence of evolution in minimally invasive surgery. It allows one to reduce surgical trauma and the number of complications and to improve cosmetic outcomes. It also shortens the patient's recovery time. So far there have been only nine NOTES procedures performed in Poland and around 200 NOTES interventions performed worldwide. In this paper a transgastric diagnostic NOTES procedure in a critically ill patient is described. A 60-year-old male patient with multi-organ failure (circulatory, respiratory and renal insufficiency, with co-morbid hypothyroidism and diabetes mellitus) hospitalized in the intensive therapy unit (ITU) with unknown cause of his condition was qualified for transgastric diagnostic NOTES procedure. This intervention revealed the diagnosis of metastatic neoplastic disease and allowed persistent therapy to be avoided. Diagnostic NOTES in selected patients seems to be a very useful. It provides fast diagnosis

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Section: Discussionmentioning

confidence: 99%

Diagnostic pure transgastric NOTES in an intensive therapy unit patient

Michalik¹,

Bobowicz²,

Trybull³

et al. 2011

Videosurgery and Other Miniinvasive Techniques

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show abstract

“…Early experiences with transgastric NOTES have included diagnostic peritoneoscopy and organ biopsy [28,29]. Cholecystectomy has been the most commonly performed transgastric procedure, whereas it has been exclusively performed by hybrid means [30,31,32,33,34,35]. Due to anatomical restrictions, gallbladder retraction may only be accomplished by laparoscopic instrumentation in order to achieve the critical view, although details on endoscopic retraction have only been sparsely and insufficiently described in the literature [30,31].…”

Section: Transgastric Proceduresmentioning

confidence: 99%

NOTES: Current Status and Recent Developments

Antoniou

Bartsch

2012

Visc Med

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Background: The beneficial clinical results of laparoscopic surgery have prompted modern investigations to further minimize surgical trauma and to optimize cosmetic results. Natural orifice transluminal endoscopic surgery (NOTES®) refers to the surgical concept of entering the surgical field through a body lumen for diagnostic and therapeutic purposes without producing visible scars. Method: A review of the current literature was undertaken by means of the electronic databases Excerpta Medica and EMBASE. Results: Although the level of clinical evidence is low, the concept of NOTES has found clinical application in a variety of abdominal procedures, such as cholecystectomy, appendectomy, and sigmoidectomy. The vagina represents the most frequent access route for NOTES while the stomach, the rectum, and the transoral approach are further options. Several clinical studies have demonstrated the feasibility of a wide variety of NOTES procedures; however, there are currently no hard data supporting the superiority of this approach over conventional laparoscopic techniques. Furthermore, inherent limitations of the NOTES concept, such as the loss of triangulation, difficult tissue manipulation, and the potential contamination of the surgical field, warrant technological advances in medical endoscopy, instrumentation, and endoscopic tissue closure. Conclusions: In its current status, NOTES has to be considered as a stage towards minimization of surgical access trauma rather than as an established surgical concept.

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“…In 2004, the first human NOTES operation was reported when an appendix was removed through the mouth. In the United States, currently reported studies have included the use of diagnostic peritoneoscopy [17] and transvaginal [18] and transgastric cholecystectomy [19] . Internationally, use of NOTES in humans continues in countries such as India, Japan, Turkey, Japan, South America, and France.…”

Section: Introductionmentioning

confidence: 99%

Natural orifice transesophageal thoracoscopic surgery: A review of the current state

Turner

Gee

2010

WJG

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Since the concept of Natural Orifice Translumenal Endoscopic Surgery (NOTES) was introduced, it has continued to gain significantly in popularity and enthu siasm for its potential clinical applications. The ability to perform conventional laparoscopic and thoraco scopic procedures without the creation of scars and perhaps faster and less painful recovery has prompted a worldwide devotion to further this field. While intraabdominal NOTES has rapidly transitioned from animal models to human trials, applying the NOTES concept to perform thoracic procedures has been slower to gain momentum. The goal of this review is to sum marize the current state of transesophageal NOTES thoracoscopy by looking at its potential for diagnostic and therapeutic interventions as well as the challenges in transitioning to human trials.

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Human NOTES Cholecystectomy: Transgastric Hybrid Technique

Cited by 81 publications

References 7 publications

Diagnostic pure transgastric NOTES in an intensive therapy unit patient

Diagnostic pure transgastric NOTES in an intensive therapy unit patient

NOTES: Current Status and Recent Developments

Natural orifice transesophageal thoracoscopic surgery: A review of the current state

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