New developments in surgery: Natural Orifice Transluminal Endoscopic Surgery (NOTES) |
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Authors: | de la Fuente Sebastian G Demaria Eric J Reynolds James D Portenier Dana D Pryor Aurora D |
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Affiliation: | Duke Endosurgery Center, Departments of Surgery and Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA. sebastian.delafuente@duke.edu |
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Abstract: | Natural orifice transluminal endoscopic surgery refers to the method of accessing the abdominal cavity through a natural orifice under endoscopic visualization. Since its introduction in 2004, numerous reports have been published describing different surgical interventions. Recently, a group of expert laparoscopic surgeons and endoscopists outlined the limitations of this approach and issued recommendations for progress toward human trials. Herein we review the published data and propose a series of questions to be considered for future investigations. We also address the controversy involved in the incorporation of this new technology into surgical practice. |
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