The Effects of Natural Orifice Translumenal Endoscopic Surgery (NOTES) on Cardiorespiratory Physiology

Pucher, Philip H.; Sodergren, Mikael H.; Al-Khusheh, M.; Clark, James; Jethwa, P.; Teare, Julian; Yang, Guang‐Zhong; Darzi, Ara

doi:10.1177/1553350612460767

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…However, the laparoscopic insufflation devices that are currently used are not suitable for NOTES and no analog devices have developed thus far. Therefore, in patients undergoing NOTES with CO 2 , the gas feed for insufflation should be consistently controlled and monitored, and an open view of the patient's abdomen should be maintained to ensure that severe pneumoperitoneum can be quickly diagnosed [8,11]. …”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of transoral natural orifice transluminal endoscopic surgery: two cases report

Lee

Chung

Lee

et al. 2014

Korean J Anesthesiol

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Natural orifice transluminal endoscopic surgery (NOTES) is an evolving field of minimally invasive surgery. NOTES reaches the target organ by inserting the endoscope through a natural orifice (e.g. mouth, anus, urethra, vagina) and offers advantages of less postoperative pain and lower complication rate. Since its first description in 2004, NOTES has progressed from use on animal models to humans. We experienced anesthetic care of two patients who underwent transoral NOTES under general anesthesia.

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Section: Discussionmentioning

confidence: 99%

Anesthetic management of transoral natural orifice transluminal endoscopic surgery: two cases report

Lee

Chung

Lee

et al. 2014

Korean J Anesthesiol

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“…However, the non-inferiority of NOTES compared to the laparoscopy is demonstrated from reported studies, although the evidence is limited by a number of researches [69]. When administering anaesthetic care to a patient undergoing NOTES, anaesthesiologists should closely monitor the patient's position as well as ETCO2 to minimise the incidence of mediastinal emphysema and pneumomediastinum and to ensure early detection of pneumoperitoneum-related respiratory and hemodynamic changes [70].…”

Section: Anaesthesiamentioning

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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Effect of transgastric natural orifice transluminal endoscopic surgery peritoneoscopy on abdominal organ microcirculation: an experimental controlled study

Adelsdorfer

Taurà

Ibarzabal

et al. 2016

Gastrointestinal Endoscopy

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The Effects of Natural Orifice Translumenal Endoscopic Surgery (NOTES) on Cardiorespiratory Physiology

Abstract: Existing evidence is limited to small-sample animal trials but appears to show noninferiority for NOTES compared with laparoscopy. The development of a pressure regulation device for NOTES must be considered.

Cited by 4 publications

References 30 publications

Anesthetic management of transoral natural orifice transluminal endoscopic surgery: two cases report

Anesthetic management of transoral natural orifice transluminal endoscopic surgery: two cases report

Natural Orifice Translumenal Endoscopic Surgery of the GastroIntestinal Tract

Effect of transgastric natural orifice transluminal endoscopic surgery peritoneoscopy on abdominal organ microcirculation: an experimental controlled study

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