Abstract
Since its introduction in 2004, natural orifice transluminal endoscopic surgery (NOTES) has attracted the interest of many clinicians and researchers and demonstrated technical feasibility and efficacy when used in various types of intra-abdominal operations, including transgastric liver biopsy, cholecystectomy, tubal ligation, and peritoneoscopy. Although NOTES has some potential advantages, such as being less invasive than the traditional method and causing less postoperative wound pain, there are certain challenges, including optimal access to the peritoneal and thoracic cavities, infection prevention, wound closure, and complication management. Among the abovementioned challenges,
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