Natural Orifice Translumenal Endoscopic Surgery: A Critical Review |
| |
Authors: | Jonathan P Pearl Jeffrey L Ponsky |
| |
Institution: | (1) Department of Surgery, National Naval Medical Center, Bethesda, MD, USA;(2) Department of Surgery, Case Western Reserve University School of Medicine, 11100 Euclid Ave, Cleveland, OH 44106, USA |
| |
Abstract: | Natural orifice translumenal endoscopic surgery (NOTES) involves the intentional puncture of one of the viscera (e.g., stomach,
rectum, vagina, urinary bladder) with an endoscope to access the abdominal cavity and perform an intraabdominal operation.
Early laboratory work focused on feasibility studies, including such accomplishments as pure transgastric splenectomy and
gastrojejunostomy. Contemporary laboratory work is investigating the infectious and immunologic implications of NOTES and
honing the tools and techniques required for complex abdominal operations. Today NOTES has entered the clinical arena in a
few cases: the first clinical series of transgastric peritoneoscopy has recently been published; multiple groups are accumulating
patients in studies of NOTES cholecystectomy, either via the transgastric or transvaginal route; and a series of transgastric
appendectomies has been well publicized, yet it remains unpublished. Although clinical NOTES is gaining momentum, the field
should remain in check while rigorous laboratory work is performed and cogent clinical trials are undertaken. The zeal for
NOTES should not take precedence over the welfare of the patient. |
| |
Keywords: | Endoscopic surgery Intraabdominal Translumenal Peritoneoscopy Cholecystectomy |
本文献已被 SpringerLink 等数据库收录! |
|