Pure NOTES sigmoid resection in an animal survival model

Bernhardt, Jörn; Köhler, Peter; Rieber, Fabian; Diederich, Mike; Schneider-Koriath, Sylke; Steffen, Holger; Ludwig, Kaja; Lamadé, Wolfram

doi:10.1055/s-0031-1291546

Cited by 9 publications

(3 citation statements)

References 5 publications

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“…Publication bias likely impacts reported adverse event rates. Expanding to EUS-CPN performed for any indication this list includes infarction of spleen, pancreas and gastric antrum,[ 10 ] gastric ulceration,[ 28 ] fatalities from bowel infarction,[ 12 13 29 ] retroperitoneal abscess or bleeding,[ 9 30 ] permanent paralysis/paraplegia,[ 31 32 33 ] brain abscess (but unclear if CPB or CPN),[ 11 ] pulmonary embolus,[ 34 ] and bilateral diaphragm paralysis. [ 35 ] Paraplegia is felt to occur by inadvertent injection of ethanol into the artery of Adamkiewicz causing vessel trauma, thrombosis or vasospasm with anterior spinal artery infarction of the spinal cord.…”

Section: Consensus Statementsmentioning

confidence: 99%

Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis

Wyse

Battat

Sun³

et al. 2017

Endosc Ultrasound

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Objectives:The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN).Methods:Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80% voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence.Results:Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4% agreement was reached on the remaining one.Conclusions:EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.

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Section: Consensus Statementsmentioning

confidence: 99%

Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis

Wyse

Battat

Sun³

et al. 2017

Endosc Ultrasound

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“…Pure NOTES resection and anastomosis of the large bowel were feasible, and the colorectal anastomosis was achieved using circular stapler [126]. Early clinical series of transanal TME with laparoscopic assistance (n = 72) were promising, with overall intraoperative and postoperative complication rates of 8.3% and 27.8%, respectively, similar to laparoscopic TME [127].…”

Section: Colonic Notesmentioning

confidence: 99%

Natural Orifice Translumenal Endoscopic Surgery of the GastroIntestinal Tract

Hussain¹

2015

Endoscopy - Innovative Uses and Emerging Technologies

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Research Focus -NOTES is a new technique that faces numerous challenges. Current technology, training and research activities are conducted to make it a safe and effective minimal access technique.Research Methods Used -This chapter is based on the current evidence of published NOTES studies. Medline search is conducted through November to December , including English literatures only. The search words are NOTES, natural orifice translumenal endoscopic surgery, hybrid NOTES and hybrid natural orifice translumenal endoscopic surgery additional search words are specific for the titles like NOTES gastric, NOTES oesophageal, NOTES biliary, NOTES cholecystectomy, NOTES pancreatic, NOTES small bowel, NOTES colorectal and NOTES appendicectomy. "nimal and human studies are selected after . Small studies are excluded unless they report a novel approach or a new procedure.Results/Findings of the Research -There is development in the technology by installing new platforms, instruments and closure devices to add more safety and security. There is also development in training and research activities across the continents a number of NOTES procedures are performed safely on human beings including cholecystectomy, appendicectomy, peritoneoscopy, POEM and other procedures. Feasibility studies are conducted on animal and human cadaver models including numbers of complex procedures.Main Conclusions and Recommendations -NOTES is evolving and gaining popularity. The growth rate however is slowed by challenges of the need for an ideal working platform and closure devices that are easy to use, cheap and time effective, in addition to the dedicated effective training.

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“…Ad hoc instrumentation for visceral closure has been developed with promising results. The over-the-scope clip (OTSC® System; Ovesco Endoscopy AG, Tübingen, Germany) probably remains the most reliable method for closure of the luminal access site in animal models [69,70,71,72,73]. Endoscopic application of T-bars has also been evaluated in the setting of viscerotomy closure [73,74], whereas their efficiency has been questioned by experimental studies [75,76].…”

Section: Technological Advancesmentioning

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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Pure NOTES sigmoid resection in an animal survival model

Abstract: The presented study shows that pure NOTES resection and anastomosis of the large bowel are feasible. Intraluminal organ manipulation provided excellent organ exposition and rendered one additional access site unnecessary. Transgastric preparation was shown to be safe and effective.

Cited by 9 publications

References 5 publications

Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis

Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis

Natural Orifice Translumenal Endoscopic Surgery of the GastroIntestinal Tract

NOTES: Current Status and Recent Developments

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