NOTES: a review of the technical problems encountered and their solutions

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Yoav MintzMark A Talamini

Abstract

Natural orifice translumenal endoscopic surgery (NOTES) is currently investigated and developed worldwide. In the past few years, multiple groups have confronted this challenge. Many technical problems are encountered in this technique due to the currently available tools for this approach. Some of the unique technical problems in NOTES include: blindly performed primary incisions; uncontrolled pneumoperitoneal pressure; no support for the endoscope in the abdominal cavity; inadequate vision; insufficient illumination; limited retraction and exposure; and the complexity of suturing and performing a safe anastomosis. In this paper, we review the problems encountered in NOTES and provide possible temporary solutions. Acute and survival studies were performed on 15 farm pigs. The hybrid technique approach (i.e., endoscopic surgery with the aid of laparoscopic vision) was performed in all cases. Procedures performed included liver biopsies, bilateral tubal ligation, oophprectomy, cholecystectomy, splenectomy and small bowel resection, and anastomosis. All attempted procedures were successfully performed. New methods and techniques were developed to overcome the technical problems. Closure of the gastrotomy was achieved by T-bar sut...Continue Reading

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Citations

Jan 29, 2010·Surgical Endoscopy·Elie ChouillardAndrew Gumbs
Mar 27, 2010·Surgical Endoscopy·Dietmar MattesAndreas Wedrich
Mar 13, 2013·Surgical Endoscopy·Santiago HorganMark A Talamini
Apr 14, 2009·Journal of Hepato-biliary-pancreatic Surgery·Takeshi OhdairaYoshikazu Yasuda
Apr 8, 2009·Journal of Hepato-biliary-pancreatic Surgery·Nobumi Tagaya, Keiichi Kubota
Jul 28, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sang Kuon LeeDong Goo Kim
Aug 13, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Martin L MetzelderJoachim F Kuebler
Apr 9, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Bo Sung SohnEun Jung Kim
Mar 4, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·James ClarkGuang-Zhong Yang
Jan 5, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Shuo Dong WuYu Tian
Dec 8, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jongkyung ParkSeong Lee
Nov 30, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mahmoud Abu GazalaYoav Mintz
May 9, 2012·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Chad G BallTimothy J Broderick
Jun 16, 2012·Polski przeglad chirurgiczny·Michał Kazanowski, Christopher Kobierzycki
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Feb 12, 2014·Surgical Endoscopy·Ahmed E LasheenWesam Amr
Jul 10, 2010·Journal of Biomedical Optics·Frank S TsaiYu-Hwa Lo
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Jul 27, 2012·Cirugía española·Salvador Morales-Conde
Apr 26, 2011·Cirugía española·Raúl Castro PérezMartha Oriolo Estrada
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Jan 20, 2015·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Jiangran ZhaoKai Xu
Sep 29, 2011·Surgical Innovation·Neil T ClancyDaniel S Elson
Dec 17, 2010·World Journal of Gastrointestinal Surgery·Pierre AllemannJacques Marescaux
May 12, 2018·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Muhammad Umar FarooqSeong Young Ko

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