Natural orifice transluminal endoscopic surgery: Past, present and future

Abstract

Natural orifice transluminal endoscopic surgery proceeding to clinical (NOTES). Eliminate natural (NOTES) first gained notoriety with the initial orifice transluminal endoscopic surgery. laboratory report of transgastric peritoneoscopy in Since then the medical community and the SOME ADVANTAGES general public has been captivated with the idea of “no-scar” abdominal surgery. In animal models, There are many potential advantages of NOTES over translumenal organ resections have been shown to conventional surgery. Much like laparoscopy has be feasible and an unpublished clinical case series demonstrated less physiologic impact than of transgastric appendectomies has been discussed laparotomy, NOTES may cause less physiologic across the world. However, as data accumulate we insult than either laparoscopy or laparotomy. are learning that NOTES techniques requir Laboratory studies are underway investigating substantial refinement before achieving clinical cytokine levels with NOTES in comparison to conventional operations. Furthermore, natural orifice surgery may negate the possibility of wound complications and reduce the formation of intraabdominal adhesions. Natural orifice transluminal endoscopic surgery (NOTES) involves accessing the abdominal cavity via Given the portability of NOTES equipment, natural one of the bodies’ natural orifices (mouth, anus, vagina orifice surgery is suited for an intensive care unit. or urethra). A flexible endoscope is advanced into the Moving the equipment to the patient, rather than peritoneal cavity after puncturing one of the viscera vice versa, might reduce the resource requirements 2004.