NOTES, MANOS, SILS and other new laparoendoscopic techniques

Abstract

A new way of opening a body cavity can be a revolution in surgery. In 1980s, laparoscopy changed how surgeons had been working for years. Natural orifice translumenal endoscopic surgery (NOTES), minilaparoscopy-assisted natural orifice surgery (MANOS), single incision laparoscopic surgery (SILS) and other new techniques are the new paradigm in our way of operating in the 21 st century. The development of these techniques began in the late 90s but they have not had enough impact to develop and evolve. Parallels between the first years of laparoscopy and NOTES can be made. Working for an invisible surgery, not only for cosmesis but for a less invasive surgery, is the target of NOTES, MANOS and SILS performed by surgeons and endoscopists over the last 10 years. The future flexible endoscopic platforms and the fusion between laparoscopic instruments and devices and robotic surgery will be a great advance for "scarless surgery".

Single Port Laparoscopic Cholecystectomy: Technical Aspects and Results

“…The single-port operation carries the advantages of NOTES as far as the cosmetic and less invasive approach is concerned, but without compromising gastrointestinal organs or other viscera. Studies indicate that the complication rates with the single port in relation to MPLS are not increased 3 , 6 , 8 , 11 , 18 , 25 , 28 , 29 , 30 .…”

Cholecystectomy: evolution of laparoscopic approach

“…(2007) опубликовали свой опыт гибридных TVC, при выполнении которых авторы дополнительно установили один трансабдоминаль-ный троакар [53]. Так возникло новое направление развития лапароскопической технологии -мини-лапароскопически ассистированная хирургия через естественные отверстия (Minilaparoscopy Assisted Natural Oriice Surgery -MANOS), нуждавшееся в дальнейшем совершенствовании и анализе [163].…”

Advances in equine laparoscopy

“…A pure NOTES procedure utilises a flexible endoscope rather than a rigid laparoscope and therefore hybrid NOTES procedures have been developed. Minilaparoscopy assisted natural orifice surgery (MANOS) techniques, use natural orifices for some surgical gestures and the removal of the piece, with support from minilaparoscopy (Noguera and Cuadrado 2012). MANOS is possibly a more accurate acronym to describe the procedure reported by Vitte et al (2013).…”

“…In 1985, Mühe reportedly performed the world's first laparoscopic cholecystectomy. Development of the mini video camera in 1987 allowed visualisation of the surgery by more than just the surgeon, which made the surgery easier for the surgeon and allowed assistants to help more efficiently (Noguera and Cuadrado ). Many of the initial laparoscopic procedures were performed in animals to develop and refine the technique prior to its use in man.…”

“…Procedures now commonly performed using NOTES procedures include, but are not limited to, colorectal, splenic and bariatric surgery, transgastric appendectomy, tubal ligation, gastrojejunostomy, cholecystectomy, cholecystogastrostomies, transvaginal cholecystectomy, and nephrectomy (Clark et al . ; Noguera and Cuadrado ).…”