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Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice

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Laparoscopic sleeve gastrectomy with NOTES visualization--a step toward NOTES procedures.

João Caetano Marchesini¹, Almino Ramos Cardoso, Mário Nora

¹Brazilian Society for Bariatric and Metabolic Surgery. jcmarchesini@gmail.com

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery

|November 26, 2008

Summary

Bariatric surgery can now be performed safely using Natural Orifice Transluminal Endoscopic Surgery (NOTES) visualization. This minimally invasive technique offers comparable results to traditional laparoscopic bariatric procedures.

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Sleeve Gastrectomy in Mice using Surgical Clips

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Published on: November 14, 2020

Area of Science:

Surgical innovation
Minimally invasive surgery
Gastroenterology

Background:

Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an emerging surgical approach.
NOTES involves performing procedures through natural orifices, avoiding skin incisions.
This study aimed to validate NOTES for bariatric procedures at two international institutions.

Purpose of the Study:

To demonstrate the feasibility and safety of bariatric procedures using NOTES visualization.
To establish bariatric NOTES as a viable alternative to conventional laparoscopic surgery.

Main Methods:

Vertical gastrectomy and laparoscopic sleeve gastrectomy were performed in a porcine model.
Procedures utilized vaginal route visualization for NOTES implementation.

Main Results:

Laparoscopic vertical sleeve gastrectomy was successfully completed using NOTES visualization in a porcine model.
The procedure was performed with a high degree of safety.

Conclusions:

Bariatric procedures can be effectively performed using NOTES visualization.
NOTES-assisted bariatric surgery yields results comparable to established laparoscopic techniques.