Abstract
There has been booming interest in natural orifice transluminal surgery since it was first described. Several techniques first developed for the safe transluminal access now derive into independent endoscopic surgical procedures. In this paper, we describe a case treated by a novel procedure by submucosal tunnelling technique and provide a literature review of the rise of tunnel endoscopic surgery.
Highlights
Tunnel endoscopy is a novel approach which was initially developed for the purpose of establishing an access for natural orifice transluminal endoscopic surgery (NOTES) [1,2,3]
The emerge of peroral endoscopic myotomy (POEM) for treating esophageal achalasia marked the rising of a new branch of therapeutic endoscopy [4]
A comparative study of four different transgastric access showed that an extended submucosal tunnel yielded the best leak resistance, which is superior to standard transgastric access methods and rival handsewn interrupted stitches [15]
Summary
Tunnel endoscopy is a novel approach which was initially developed for the purpose of establishing an access for natural orifice transluminal endoscopic surgery (NOTES) [1,2,3]. It brought a great idea for endoscopic procedures by using the submucosal tunnel as an operating space. The emerge of peroral endoscopic myotomy (POEM) for treating esophageal achalasia marked the rising of a new branch of therapeutic endoscopy [4] Our group defines it as tunnel endoscopic surgery which includes several novel procedures utilizing a submucosal tunnel as an operating space. We report a case operated by this novel method: submucosal tunnelling endoscopic resection (STER)
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