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Laparoendoscopic single‐site surgery and natural orifice transluminal endoscopic surgery: future perspectives
Author(s) -
Best Sara L.,
Tracy Chad R.,
Cadeddu Jeffrey A.
Publication year - 2010
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2010.09674.x
Subject(s) - natural orifice transluminal endoscopic surgery , instrumentation (computer programming) , natural (archaeology) , laparoscopic surgery , triangulation , endoscopic surgery , invasive surgery , medicine , laparoscopy , surgery , general surgery , computer science , medical physics , endoscopy , geography , cartography , archaeology , operating system
Hundreds of laparoendoscopic single‐site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) cases have been reported in the literature across a broad span of urological procedures. Despite this, many hurdles to widespread adoption of these techniques exist, including technical challenges, such as decreased triangulation and unfamiliar viewing angles, and more philosophical issues, such as the necessity of demonstrating benefits of these techniques over conventional laparoscopy. Future research will seek to overcome these obstacles. This may be accomplished with further instrument development, including robotic instrumentation, as well as clinical studies evaluating outcomes of LESS/NOTES operations that may demonstrate advantages in these techniques.