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Natural orifice transluminal endoscopic surgery ( NOTES ) for clinical management of intra‐abdominal diseases
Author(s) -
Liu Liu,
Chiu Philip W. Y.,
Reddy Nagewasher,
Ho KhekYu,
Kitano Seigo,
Seo Dong Wan,
Tajiri Hisao
Publication year - 2013
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12154
Subject(s) - medicine , natural orifice transluminal endoscopic surgery , cholecystectomy , general surgery , clinical trial , natural history , abdominal surgery , clinical practice , closure (psychology) , laparoscopic cholecystectomy , surgery , laparoscopy , family medicine , economics , market economy
Clinical research on natural orifice transluminal endoscopic surgery ( NOTES ) has been increasingly reported over the past 5 years and more than 1200 patients have received various NOTES procedures. The present article reviews the clinical practice of NOTES for the treatment of intra‐abdominal diseases, and was carried out through systematic search with specific keywords in major databases for NOTES ‐related clinical literature. The last date of the search was 15 A ugust, 2012. Transvaginal cholecystectomy is the commonest NOTES procedure reported, and its clinical feasibility and safety was established through prospective case series and randomized trials. There is a regional difference in NOTES development with the majority of NOTES from C aucasian countries being transvaginal cholecystectomy and most reports from A sian countries being NOTES ‐related procedures. Safe closure of gastrointestinal access remains challenging, and novel endoscopic instruments are essential to enhance future development of NOTES .