NOTES鈥攖hird generation surgery. Vain hopes or the reality of tomorrow?
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- 作者：Jarek Kobiela ; Tomasz Stefaniak ; Malgorzata Mackowiak ; Andrzej J. Lachinski and Zbigniew Sledzinski
- 关键词：NOTES ; Natural orifice transluminal endoscopic surgery ; Laparoscopic surgery ; Endoscopy
- 刊名：Langenbeck's Archives of Surgery
- 出版时间：May, 2008
- 出版年：2008
- 期刊代码：144_1435-2443
- 类别：med
- 卷：393
- 期：3
- 页码：405-411
- 数据来源：sp
摘要
Background Laparoscopic approach has made many procedures less invasive; however, it seems like this is not enough. The newest challenge for the medical environment is applying the scarless surgery in humans. In this article, we review the origin, current state of art, and future of natural orifice transluminal endoscopic surgery (NOTES). The registered base of research in humans is yet scarce; however, the porcine model experimental studies hold a great promise. In NOTES, peritoneal cavity can be easily achieved, and some procedures are feasible through the natural orifices like digestive tract, vagina, or urinary bladder. If safety and advantages of these approaches will be proven beyond question, NOTES procedures are likely to be adapted in humans after overcoming the critical obstacles, like reliable closure methods, indispensable equipment invention, the multidisciplinary specialists training, etc. The aim of this article was to review available literature to provide current state of art in NOTES surgery.