A colorectal surgeons viewpoint on natural orifice translumenal endoscopic surgery.
Minerva Chir
; 63(5): 385-8, 2008 Oct.
Article
in En
| MEDLINE
| ID: mdl-18923349
ABSTRACT
Natural orifice translumenal endoscopic surgery (NOTES) represents a burgeoning but still largely experimental field. Most NOTES researchers have favored transgastric and transvaginal approaches to abdominal access. For surgeries involving the upper abdominal organs, transvaginal and transanal approach promise to provide a more direct route in contrast to the often cumbersome retroflexion typically required with the transgastric approach. The potential disadvantages of the transanal route are also significant and include issues of sterility, the risk of inadvertent trauma to adjacent organs during transmural puncture, and the risk of colonic wall shearing. This article reviews early development of NOTES, the evolution of transanal access to the peritoneal cavity, highlights the various techniques that have been used for transanal access, and discusses the relative advantages and disadvantages of this approach.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Endoscopy, Gastrointestinal
/
Colorectal Surgery
/
Endoscopes
Type of study:
Etiology_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
Minerva Chir
Year:
2008
Document type:
Article
Affiliation country:
United States