The "Iceberg Phenomenon": As Soon as One Technological Problem in NOTES Is Solved, the Next One Appears!

Surgical Innovation
Hubertus FeussnerTobias Ortmaier

Abstract

Though already proclaimed about 7 years ago, natural orifice transluminal endoscopic surgery (NOTES) is still in its early stages. A multidisciplinary working team tried to analyze the technical obstacles and identify potential solutions. After a comprehensive review of the literature, a group of 3 surgeons, 1 gastroenterologist, 10 engineers, and 1 representative of biomedical industry defined the most important deficiencies within the system and then compiled as well as evaluated innovative technologies that could be used to help overcome these problems. These technologies were classified with regard to the time needed for their implementation and associated hindrances, where priority is based on the level of impact and significance that it would make. Both visualization and actuation require significant improvement. Advanced illumination, mist elimination, image stabilization, view extension, 3-dimensional stereoscopy, and augmented reality are feasible options and could optimize visual information. Advanced mechatronic platforms with miniaturized, powerful actuators, and intuitive human-machine interfaces could optimize dexterity, as long as enabling technologies are used. The latter include depth maps in real time, precise...Continue Reading

References

Jan 13, 2006·Surgical Endoscopy·D RattnerUNKNOWN ASGE/SAGES Working Group
Apr 4, 2006·IEEE Transactions on Image Processing : a Publication of the IEEE Signal Processing Society·Assaf ZometYair Weiss
Aug 4, 2007·The Review of Scientific Instruments·Alexander A Minakov, Christoph Schick
Nov 4, 2008·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Salman CanHubertus Feussner
Mar 13, 2010·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·Y Hernández-MierFrançois Guillemin
Sep 28, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Bernard Dallemagne, Jacques Marescaux
Apr 14, 2011·Surgical Endoscopy·Oleg DolghiDmitry Oleynikov
Jul 27, 2011·IEEE Transactions on Image Processing : a Publication of the IEEE Signal Processing Society·Qi Zhi, Jeremy R Cooperstock
Aug 16, 2011·Cellular and Molecular Life Sciences : CMLS·Ivan Dzhagalov, Hyewon Phee
Dec 20, 2011·Surgical Endoscopy·Pirmin StorzAndreas Kirschniak
Mar 21, 2012·Archives of Surgery·Mikael SodergrenAra Darzi

❮ Previous
Next ❯

Citations

Jan 24, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Feußner, D Wilhelm
Feb 14, 2019·Surgical Innovation·Chi-Chung FooWai-Lun Law
Apr 27, 2019·JMIR MHealth and UHealth·Martin EckertChristoph M Friedrich

❮ Previous
Next ❯

Methods Mentioned

BETA
chip
dissecting

Software Mentioned

NOTES
MASTER
NOSCAR

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva
E Cugat Andorra, M J Varas Lorenzo
Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
Gerhard F Buess
© 2022 Meta ULC. All rights reserved