Transvesical endoscopic port in abdominal surgery: an updated perspective

Area of Science:

• Minimally Invasive Surgery
• Surgical Innovation
• Gastroenterology

Background:

• Natural orifice transluminal endoscopic surgery (NOTES) emerged as a promising approach for scarless surgery, aiming to reduce patient pain and surgical stress.
• A significant challenge hindering widespread adoption of NOTES is the absence of dependable methods for closing visceral defects after procedures.
• This limitation necessitates further research into alternative access and closure techniques within NOTES.

Purpose of the Study:

• To provide an updated overview of the advancements in transvesical access techniques for surgical applications.
• To explore the potential future applications of transvesical access in overcoming current NOTES limitations.
• To address the critical need for reliable visceral closing methods in endoscopic surgery.

Main Methods:

• Review of current literature on transvesical access and NOTES closure techniques.
• Analysis of developmental progress in surgical tools and methodologies for transvesical procedures.
• Evaluation of case studies and experimental data related to visceral defect closure via transvesical routes.

Main Results:

• Transvesical access presents a viable approach for addressing the challenge of visceral closure in NOTES.
• Ongoing developments show promise in refining techniques for safe and effective transvesical interventions.
• The technique offers potential for improved outcomes in scarless surgery by enabling reliable internal sealing.

Conclusions:

• Transvesical access is a developing area with significant potential to resolve critical limitations in NOTES.
• Further research and clinical validation are essential to fully establish transvesical access as a standard surgical option.
• This approach could enhance the feasibility and safety of scarless surgery, improving patient recovery.