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Related Experiment Video

Updated: Jul 10, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
09:04

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

Developing essential tools to enable transgastric surgery.

L L Swanstrom1, M Whiteford, Y Khajanchee

  • 1Division of Minimally Invasive Surgery, Legacy Health System, Oregon Health Sciences University, 501 North Graham Street, Suite 120, Portland, OR, 97227, USA. lswanstrom@aol.com

Surgical Endoscopy
|November 2, 2007
PubMed
Summary

Natural orifice transluminal endoscopic surgery (NOTES) offers incisionless procedures by adapting flexible endoscopy technology. Developing specialized instrumentation is crucial for advancing this minimally invasive surgical approach.

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Medical Device Development

Background:

  • Natural orifice transluminal endoscopic surgery (NOTES) represents a theoretical advancement in surgical care.
  • NOTES aims to replicate laparoscopic procedures using flexible endoscopy, avoiding external incisions.
  • Significant methodological and political challenges impede the practical realization of NOTES.

Purpose of the Study:

  • To describe the ongoing development of instrumentation for NOTES.
  • To detail the collaborative process between industry and clinicians in creating new surgical tools.
  • To present solutions for key challenges in NOTES, including access, platform stability, and tissue approximation.

Main Methods:

  • Adaptation of existing diagnostic and therapeutic flexible endoscopic technology.

Related Experiment Videos

Last Updated: Jul 10, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
09:04

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

  • Design and creation of novel instruments specifically for transluminal procedures.
  • Collaboration between medical device industry and clinical practitioners.

    • Main Results:

    • Development of specialized instrumentation to enable NOTES procedures.
    • Specific devices addressing challenges of access, platform stability, and secure tissue approximation.
    • Demonstration of the feasibility of adapting current technology for NOTES.

    Conclusions:

    • Instrumentation development is a critical factor in advancing NOTES.
    • Collaboration is key to overcoming technical hurdles in NOTES.
    • The described instrumentation facilitates the practical application of incisionless surgery.