Evolution of laparoscopic surgery: lessons for NOTES

Natural orifice translumenal endoscopic surgery (NOTES) is considered by some to be the next revolution in surgery. To advance into clinical NOTES safely and responsibly, the lessons learned from laparoscopic surgery should be applied to the development of NOTES as much as possible. This novel technique is still in evolution and newly designed instruments and devices should be developed. Industry has a considerable role in research and development and collaboration between clinicians and engineers for this matter is crucial.