Early clinical experience with a new flexible endoscopic suturing method for natural orifice transluminal endoscopic surgery and intraluminal endosurgery (with videos)

Bergström, Maria; Swain, Paul; Park, Per-Ola

doi:10.1016/j.gie.2007.09.049

Cited by 32 publications

(24 citation statements)

References 18 publications

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“…Enthusiastic surgeons are interested and excited about NOTES and also views of patients having undergone laparoscopic surgery are encouraging. About 78% of patients preferred NOTES considering cholecystectomy [11]. On the other hand, conservative surgeons and gastroenterologists have certain concerns and these may need to be addressed and discussed in detail in pure scientific and logical manners.…”

Section: Reviewmentioning

confidence: 99%

NOTES: current status and expectations

Hussain

Mahmood

2008

Eur Surg

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Zusammenfassung. Grundlagen: Um die Größe von Hautinzisionen zu minimieren, hat sich die minimal invasive Chirurgie in den letzten Jahren weiterentwickelt. Der faszinierendste Schritt ist nun Natural Orifice Tranlumenal Endoscopic Surgery (NOTES), also endoskopische Chirurgie über natürliche Körperöffnungen. In dieser Arbeit wird der derzeitige Stand von NOTES evaluiert.Methodik: Ü bersicht zu NOTES. Ergebnisse: NOTES wird derzeit an Tiermodellen optimiert und findet auch schon Anwendung am Menschen. Die technische Herausforderung besteht in der Entwicklung von neuen, flexiblen, multifunktionalen Endoskopen und Instrumenten, um NOTES sicher, rasch und flexibel zu gestalten.Schlussfolgerungen: NOTES ist vielversprechend und wird die chirurgische Routine durch minimales operatives Trauma und schnelle Genesung revolutionieren. Die Zukunft wird ideale Anwendungen für NOTES zeigen.Schlüsselwörter: NOTES, Endoskopie, Chirurgie, minimal invasiv, Hybrid-Eingriff.Summary. Background: Surgeons are striving to minimize the surgical incisions. Minimal invasive surgery is progressing over the years. The most exciting move is Natural Orifice Transluminal Endoscopic Surgery. The aim of this article is to evaluate the current evolution and future prospects of natural orifice transluminal endoscopic surgery.Methods: Medline search was used for the published articles through March-May 2008 relevant to natural orifice transluminal endoscopic surgery. About 147 articles were published and 85 papers were selected for this review.Results: Extensive activities are on to study NOTES on animal models, to try NOTES on human beings, and to provide training, research and scientific meetings. Technical refinement to produce an ideal flexible scope and access closure devices is continuing to make NOTES procedures quick, safe and practical.Conclusions: The current NOTES situation is promising .We expect NOTES to refine current surgical practice to provide minimal operative and postoperative trauma and rapid recovery through useful clinical applications in the near future.Keywords: Natural orifice transluminal endoscopic surgery (NOTES), hybrid procedure, state of the art, minimal invasive surgery, endoscopy.

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Section: Reviewmentioning

confidence: 99%

NOTES: current status and expectations

Hussain

Mahmood

2008

Eur Surg

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“…16,17 T-shaped tissue anchors are one such technology that shows promise for closing incisions and perforations of the GI tract. [18][19][20] We describe an endoluminal method for closure of GGFs that involves mechanical ablation of the mucosa of the fistula orifice with mechanical closure of the stomach defect by using a novel permanent tissue apposition system (TAS).…”

mentioning

confidence: 99%

Endoscopic closure of gastrogastric fistulas by using a tissue apposition system (with videos)

Spaun

Martinec

Kennedy

et al. 2010

Gastrointestinal Endoscopy

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“…3,4 Full-thickness endoscopic suturing and stapling devices are currently under study and have generally been successful in closing gastrotomies after endoscopic transgastric peritoneoscopy. [5][6][7][8] However, these instruments may be more difficult to handle and position and are certainly more costly.…”

mentioning

confidence: 99%