The German Registry for Natural Orifice Translumenal Endoscopic Surgery

Lehmann, Kai S.; Ritz, JP; Wibmer, Andreas G.; Gellert, Klaus; Zornig, C.; Burghardt, Jens; Büsing, M.; Runkel, N.; Kohlhaw, K.; Albrecht, R.; Kirchner, Tom G.; Arlt, G.; Mall, Julian W.; Butters, M.; Bulian, Dirk R.; Bretschneider, Jörgen; Holmer, Christoph; Buhr, H. J.

doi:10.1097/sla.0b013e3181e6240f

Cited by 205 publications

(111 citation statements)

References 26 publications

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“…However, the advantages of NOTES include reduced incisional pain (with no trocar placement), decreased wound complications such as infections and hernias, improved cosmesis and faster recovery and return to work [27,29]. It is our belief that this approach allows to perform a more complete mesorectal excision.…”

Section: Discussionmentioning

confidence: 99%

Transanal total mesorectal excision: a pure NOTES approach for selected patients

et al. 2015

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Background The concept of natural orifice transluminal endoscopic surgery (NOTES) has stimulated the development of various ''incisionless'' procedures. One of the most popular is the transanal approach for rectal lesions. The aims of this study were to report how we standardized NOTES technique for transanal mesorectal excision without abdominal assistance, discuss the difficulties and surgical outcomes of this technique and report its feasibility in a small group of selected patients. Methods Three consecutive female patients underwent transanal NOTES rectal resection without transabdominal laparoscopic assistance for rectal lesions. Functional results were assessed with the Fecal Incontinence Quality of Life scale and the Wexner score.Results The technical steps are described in details and complemented with a video. All procedures were completed without transabdominal laparoscopic help. The mesorectal plane was entirely dissected without any disruption, and distal and circumferential margins were tumor-free. No major complications were observed. Functional results show a significant impairment after surgery with improvement at 6 months to levels near those of the preoperative period. Conclusions The performance and publication of NOTES procedures are subject to much discussion. Despite the small number of patients, this procedure appears feasible and can be accomplished maintaining fecal continence and respecting oncologic principles.

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Section: Discussionmentioning

confidence: 99%

Transanal total mesorectal excision: a pure NOTES approach for selected patients

et al. 2015

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“…The largest experience with NOS procedures has been in Germany, where well over 1500 transvaginal cholecystectomies have been performed. A report on 551 cases of natural orifice transluminal endoscopic surgery from the German NOTES registry was recently published (34). From South America, reports are emerging concerning a large and diverse experience with transvaginal cholecystectomy, in particular, approaching a clinical norm in several centers (33).…”

Section: Clinical Application Of Nosmentioning

confidence: 99%

“…Transvaginal hybrid NOS is a safe method with a low complication rate, even in old or obese patients. It can be performed with rigid endoscopes and conventional trocars, which seem to be favorable for surgeons, as both instruments are common in surgical practice (34).…”

Section: Clinical Application Of Nosmentioning

confidence: 99%

Natural Orifice Surgery (NOS)-the next step in the evolution of minimally invasive surgery

Benhidjeb¹,

Stark²

2012

J Turkish German Gynecol Assoc

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“…Time of discharge after surgery ranged from 6 h after transvaginal cholecystectomy to 12 days after transvaginal colectomy [17,28]. Mean hospital stay was 3.1 days.…”

Section: In-hospital Staymentioning

confidence: 99%

Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

Komorowski

Mesa²,

Bała

et al. 2014

Indian J Surg

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Transvaginal access is the most popular natural orifice translumenal technique in the minimally invasive surgery. Reviews on non-gynecological transvaginal approach morbidities reveal that rates vary greatly. A systematic review of transvaginal approach in non-gynecological intraabdominal procedures was carried out to assess the risk of complications. A systematic search was conducted using MEDLINE, EMBASE, PubMed, and the Cochrane Library from the inception of these databases to March 2012. The following keywords were searched: "transvaginal", "NOTES", "single incision", and "single port". From the total of 231 potentially eligible abstracts, 87 papers were retrieved and evaluated as fulfilling the eligibility criteria. The final analysis included 32 articles. The overall complications rate was 4.4 %, and complications related to the transvaginal port reached 2.4 %. Conversion rate to open surgery was 3.4 %. The incidence of postoperative urinary tract infection was 0.8 %. The mean operative time was 119 min. The mean hospital stay was 3.1 days (range 6 h-12 days). The technique of transvaginal access can offer several advantages for a patient and is associated with an acceptable rate of complications.

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The German Registry for Natural Orifice Translumenal Endoscopic Surgery

Abstract: Despite the fact that NOTES has just recently been introduced, the technique has already gained considerable clinical application. Transvaginal hybrid NOTES cholecystectomy is a practicable and safe alternative to laparoscopic resection even in obese or older patients.

Cited by 205 publications

References 26 publications

Transanal total mesorectal excision: a pure NOTES approach for selected patients

Transanal total mesorectal excision: a pure NOTES approach for selected patients

Natural Orifice Surgery (NOS)-the next step in the evolution of minimally invasive surgery

Systematic Review and Meta-analysis of Complications in Transvaginal Approach in Laparoscopic Surgery

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