Natural Orifice Translumenal Endoscopic Surgery (NOTES)

Objective: Review of the application of natural orifice translumenal endoscopic surgery (NOTES) in human studies. Summary Background Data: NOTES presents the latest promising technology that allows new access into the abdominal cavity through a natural orifice for multiple clinical applications. It...

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Bibliographic Details
Published in:Journal of investigative surgery 2009-01, Vol.22 (3), p.214-217
Main Authors: Song, SuSrap, Itawi, Ed A., Saber, Alan A.
Format: Article
Language:English
Subjects:
Appendectomy - methods
Cholecystectomy - methods
Endoscopy - methods
Evidence-Based Medicine
Female
Humans
Laparoscopy - methods
Male
Minimally invasive surgery
Minimally Invasive Surgical Procedures - methods
Mouth
Natural Orifice Translumenal Endoscopic Surgery
Nephrectomy - methods
Surgery with no scars
Treatment Outcome
Urethra
Vagina
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Summary:Objective: Review of the application of natural orifice translumenal endoscopic surgery (NOTES) in human studies. Summary Background Data: NOTES presents the latest promising technology that allows new access into the abdominal cavity through a natural orifice for multiple clinical applications. It has generated excitement among physicians for a potentially scar-free surgery. Being in its infancy stage, the safety and efficacy of this technology must be studied with scrutiny. Methods: A PubMed search was conducted in April 2008 for "natural orifice translumenal endoscopic surgery" and for "natural orifice transluminal endoscopic surgery." The search was limited to articles in English and those regarding human subjects. Results: The outcomes from the published case series show a level III evidence for the use of NOTES. However, human experience with NOTES is growing. Eleven articles involving human experience with NOTES have been published in 2007 and 2008. More studies are expected as the interest in this type of surgery has only just begun. Conclusions: NOTES is a promising new technology that needs fine-tuning before it is safely applied in the clinical setting. This highlights the need for further animal and human studies in well-controlled settings followed by industry trials and case series. The excitement about this new approach should be directed toward more training and more studies before larger clinical applications can begin.
ISSN:0894-1939
1521-0553
DOI:10.1080/08941930902866287