Transgastric endoscopic peritoneoscopy does not require decontamination of the stomach in humans

Narula, Vimal K.; Happel, Lynn; Volt, Kevin; Bergman, Simon; Roland, Jason C.; Dettorre, Rebecca; Renton, David; Reavis, Kevin M.; Needleman, Bradley J.; Mikami, Dean J.; Ellison, E. Christopher; Melvin, W. Scott; Hazey, Jeffrey W.

doi:10.1007/s00464-008-0161-0

Cited by 57 publications

(46 citation statements)

References 15 publications

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“…Advocates of newer procedures are extremely positive about newer methods but they mainly talk about the cosmetic benefits. (6,8,21) There is definitely increased risk of contaimination when gastric (8,14) approach is used. increased risk of incisional hernia (22) following single-incision LC is a reality rather than a possibility.…”

Section: Resultsmentioning

confidence: 99%

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Newer Technique of Gall Bladder Removal: Are They Worth?

Randhawa¹,

Singh²,

Bajwa³

2014

jemds

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This study includes the works of various surgeons who adopted newer methods of gall bladder removal vis a vis standard method of laparoscopic cholecystectomy through 4-ports. Newer methods include Single-incision laparoscopic cholecystectomy (SILC) and Natural Orifice Transluminal Endoscopic Surgery (NOTES). The work of various studies of Laparoscopic Cholecystectomy (LC), a gold standard so far analysed against the newer techniques with respect to complications directly related to the procedure such as biliary injury, bile leak, infection, trochar related injury and post-operative incisional hernia; Post-operative hospital stay and return to work and expenses incurred over the surgical procedure .Laparoscopic cholecystectomy 4-port standard procedure, still rules the roost. Newer methods like SILC and NOTES though around for more than 8 yrs but yet to click with surgeons and more importantly with patients. Patients still find the 4-port LC fine and satisfied with it. Laparoscopic cholecystectomy (4-port LC) continues to be the method of choice with surgeons throughout globe except in few pockets. It has been standardized for procedure details and rate of complications and conversions .Till now apart from some extra advantage of cosmetic superiority newer methods do not provide any extra advantage as far as complications, hospital stay, return to normal activity and treatment cost are concerned.

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Section: Resultsmentioning

confidence: 99%

“…(3,4,5) Many studies(about50) are found on these newer methods. (6,7,8) Most studies done over small number of patients. (2) Very few studies included more than 50 patients though a couple of them included a figure around 500.…”

Section: Introductionmentioning

confidence: 99%

Newer Technique of Gall Bladder Removal: Are They Worth?

Randhawa¹,

Singh²,

Bajwa³

2014

jemds

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“…The transgastric access was deemed easier and safer for the patient than the transcolonic access, especially in view of the stomach decontamination issues [11]. Transecting the stomach and moving to the abdominal cavity was relatively easy.…”

Section: Diagnostic Pure Transgastric Notes In An Intensive Therapy Umentioning

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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“…The trials summarized in Table 2 suggest the rate of infectious complications could be low. Human trials investigating transgastric instrumentation of the peritoneal cavity do report contamination of the peritoneal cavity, but the contamination was found to be clinically insignificant [17,27,28] . Other adverse events including bleeding and pneumothoraces are significant complications in human thoracoscopic procedures [29,30] .…”

Section: Barriers To Clinical Practicementioning

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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Transgastric endoscopic peritoneoscopy does not require decontamination of the stomach in humans

Cited by 57 publications

References 15 publications

Newer Technique of Gall Bladder Removal: Are They Worth?

Newer Technique of Gall Bladder Removal: Are They Worth?

Diagnostic pure transgastric NOTES in an intensive therapy unit patient

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

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