Update in Natural Orifice Translumenal Endoscopic Surgery (NOTES)

Bernhardt, J.; Sasse, Sarah K.; Ludwig, Kaja; Meier, P. N.

doi:10.1097/mog.0000000000000385

Cited by 32 publications

(21 citation statements)

References 33 publications

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“…The pre-operative gallbladder ejection function was deemed good according to gallbladder contraction function test under abdominal ultrasound. Following consultation of relevant literature and discussion with certain endoscopy experts, it was decided that transgastric endoscopic gallbladder polypectomy and cholecystolithiasis was feasible in this patient (10–12). The present study reports on the successful use of flexible transgastric endoscopy in gallbladder polypectomy and treating cholecystolithiasis, which appears to be a promising novel surgical option for patients wishing to retain their gallbladder and functions without scarring on the abdominal wall.…”

Section: Case Reportmentioning

confidence: 99%

Transgastric endoscopic gallbladder polypectomy and cholecystolithiasis: A case report

Yang

Han

2019

Exp Ther Med

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As the most common digestive-system disease, cholelithiasis and gallbladder polyps have a high incidence. The most common treatment is laparoscopic cholecystectomy, but there are numerous drawbacks, including stump syndrome. In the present study, a novel treatment, namely transgastric endoscopic gallbladder polypectomy and cholecystolithiasis, was applied. To the best of our knowledge, the present study is the first to report on this application, which can potentially avoid open surgery and associated scars and allows for rapid recovery after surgery, and may therefore be worthy of further development and implementation in clinical practice. It is esteemed that in the future, transgastric endoscopy gallbladder polypectomy and cholecystolithiasis will be considered as a treatment option for certain patients and is subjected to constant improvements.

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Section: Case Reportmentioning

confidence: 99%

Transgastric endoscopic gallbladder polypectomy and cholecystolithiasis: A case report

Yang

Han

2019

Exp Ther Med

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“…Natural orifice transluminal endoscopic surgery (NOTES) was developed in 2007, and does not involve skin puncture, but requires the insertion of a soft endoscopic device through the body's natural orifices, such as the esophagus, stomach, vagina and rectum into the abdominal cavity or in the body cavity for surgery (7,8). This method has been applied for the treatment of GISTs; however, the number of applied cases is limited and the experience is not yet broad.…”

Section: Introductionmentioning

confidence: 99%

Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature

et al. 2020

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“…With the astonishing development of minimally invasive endoscopic technologies, surgeries without scars are no longer hypotheses. Natural orifice transluminal endoscopic surgery (NOTES) has been widely applied, with its feasibility and safety being proved in both animal experiments and clinical trial . Compared with a standard laparoscopy, NOTES reduces the rate of complications such as postoperative pain, and meets the cosmetic needs in some patients attributed to its minimal invasive nature .…”

Section: Introductionmentioning

confidence: 99%

A reliable detachable balloon that prevents abdominal cavity contamination during transrectal natural orifice transluminal endoscopic surgery

Fan

Zhao

et al. 2019

J of Digest Diseases

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Objective To evaluate the efficacy and safety of a detachable endoluminal balloon in the prevention of abdominal cavity contamination during transrectal natural orifice transluminal endoscopic surgery (NOTES). Methods The efficacy and safety of a detachable endoluminal balloon to maintain disinfection in the distal colon of the pigs were evaluated. The bacterial loads and colonic cleanliness were monitored. Additionally, the device was applied to another nine pigs that underwent a cholecystotomy by transrectal NOTES. Necropsy and pathological examination were performed after 28‐day follow‐up. Results All animals exposed to the device and one of the seven pigs not exposed to the device scored three points on the bowel cleanliness scale (P < 0.001). After 30 min bacterial loads of the test (with balloon occlusion) and control (without balloon occlusion) groups showed a significant difference (0.8 × 103 CFU/mL vs 186.8 × 103 CFU/mL, P < 0.01). Cholecystotomy by transrectal NOTES with the device was successfully performed. The mean intraperitoneal procedure time was 102.9 ± 37.7 min. There were no procedure‐related adverse events. During the follow‐up, all animals presented normal behavior and appetite. No peritoneal infection or adhesion was detected at autopsy. Cholecystotomy and rectal incision were histologically healed and no histological abnormalities were detected in the colon related to balloon placement. Conclusions The detachable balloon provides a reliable solution for preventing peritoneal contamination during transluminal operations. The technique may assist in future transrectal NOTES.

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Update in Natural Orifice Translumenal Endoscopic Surgery (NOTES)

Abstract: NOTES-procedures are performed in animal experiments as well as in clinical setting although with less frequency. At this time, hybrid techniques using rigid instruments are mainly applied.

Cited by 32 publications

References 33 publications

Transgastric endoscopic gallbladder polypectomy and cholecystolithiasis: A case report

Transgastric endoscopic gallbladder polypectomy and cholecystolithiasis: A case report

Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature

A reliable detachable balloon that prevents abdominal cavity contamination during transrectal natural orifice transluminal endoscopic surgery

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