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Review
. 2011 Sep 7;17(33):3795-801.
doi: 10.3748/wjg.v17.i33.3795.

Natural orifice transluminal endoscopy surgery: A review

João Moreira-Pinto  1 , Estevão Lima, Jorge Correia-Pinto, Carla Rolanda
Affiliations
Review

Natural orifice transluminal endoscopy surgery: A review

João Moreira-Pinto et al. World J Gastroenterol. .

Abstract

Minimally invasive surgery started spreading worldwide in 1987, when the first laparoscopic cholecystectomy was performed. Meanwhile, improvement of endoscopic equipment and instruments allowed gastroenterologists to attempt more aggressive endoluminal interventions, even beyond the wall barrier. The first transgastric peritoneoscopy, in 2004, brought to light the concept of natural orifice transluminal endoscopic surgery (NOTES). The idea of incisionless surgery is attractive and has become a new goal for both surgeons and other people interested in this field of investigation. The authors present a review of all developments concerning NOTES, including animal studies and human experience.

Keywords: Minimally invasive techniques; Natural orifice transluminal endoscopic surgery; Transcolonic; Transesophageal; Transgastric; Transvaginal; Transvesical.

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Figures

Figure 1
Figure 1
Internal view of natural orifice transluminal endoscopic surgery access (porcine model). A: Transthoracic view of transesophageal access; B: Transabdominal view of transgastric access; C: Transabdominal view of transcolonic access; D: Transabdominal view of transvaginal access; E: Tran-sgastric view of transvesical access.
See this image and copyright information in PMC

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