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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    2012, Vol. 6 Issue (2) : 187-194     DOI: 10.1007/s11684-012-0198-2
REVIEW |
Current progress on natural orifice transluminal endoscopic surgery (NOTES)
Junqing Wang1, Lu Zhang2(), Weize Wu1()
1. Department of General Surgery, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; 2. Department of Plastic and Reconstructive Surgery, Shanghai 9th People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
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Abstract  

Natural orifice transluminal endoscopic surgery (NOTES) has received considerable interest in recent years as a novel surgical technique. Here, we aim to review the current progress on NOTES, particularly focusing on the advantages and complications related to NOTES, the recent advances of surgical approaches, new instruments for closure of the natural orifice incision, and the newly developed platform for NOTES. Finally, we make a prediction of the conceivable applications of NOTES on human subjects.

Keywords natural orifice transluminal endoscopic surgery (NOTES)      laparotomy      laparoscopy     
Corresponding Authors: Zhang Lu,Email:luzhangmd@gmail.com; Wu Weize,Email:wuweize2003@163.com   
Issue Date: 05 June 2012
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-012-0198-2     OR     http://academic.hep.com.cn/fmd/EN/Y2012/V6/I2/187
Fig.1  Application of needle knife and aerocyst in NOTES operation on swine.
(A) Making section on stomach mucous; (B) Insertion of guide wire through section; (C) Assembling aerocyst guided by guide wire through section on the mucous; (D) Charging the aerocyst through the mucous.
Fig.2  Experienced surgeons practicing NOTES operation on swine.
Fig.3  Cholecystectomy by NOTES through stomach on swine and vivisection after operation.
(A) Endoscopic view of abdominal cavity and cholecyst; (B) Excised cholecyst of swine; (C) Section through the swine gastric wall; (D)Gallbladder bed of cholecystomy by NOTES.
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