The future of "NOTES"

In 2003, the first peroral appendectomy was carried out in a human subject. In order to prevent the premature adoption in clinical practice of the so-called "Natural orifice transluminal endoscopic surgery" (NOTES), a rational framework for its development was proposed in 2005. After anima...

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Bibliographic Details
Published inRevue médicale suisse Vol. 4; no. 169; p. 1879
Main Authors Maffei, Massimo, Dumonceau, Jean-Marc
Format Journal Article
LanguageFrench
Published Switzerland 03.09.2008
Subjects
Animal Experimentation
Animals
Cholecystectomy - methods
Endoscopes
Endoscopy, Digestive System - instrumentation
Endoscopy, Digestive System - methods
Female
Humans
Laparoscopes
Laparoscopy - methods
Length of Stay
Male
Minimally Invasive Surgical Procedures
Pneumoperitoneum, Artificial
Robotics
Swine
Time Factors
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Summary:In 2003, the first peroral appendectomy was carried out in a human subject. In order to prevent the premature adoption in clinical practice of the so-called "Natural orifice transluminal endoscopic surgery" (NOTES), a rational framework for its development was proposed in 2005. After animal experimentation, further abdominal interventions were carried out in humans (example: cholecystectomy) through the mouth, vagina, or in a combined approach. The main advantage of NOTES compared to laparoscopic surgery is, from the patient viewpoint, the absence of body scar, but other benefits (example: less pain and costs) could prove to be significant. It is impossible to predict whether or not NOTES will enter in routine clinical practice, but it will generate significant improvements for digestive endoscopy.
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ISSN:1660-9379