Natural orifice translumenal endoscopic surgery

Area of Science:

• Minimally Invasive Surgery
• Gastroenterology
• Surgical Innovation

Background:

• Natural orifice transluminal endoscopic surgery (NOTES) has garnered global interest since its inception in 2000.
• The field aims to overcome barriers outlined by the Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR).

Purpose of the Study:

• To review the advancements in NOTES.
• To present recent publications addressing challenges in NOTES procedures.

Main Methods:

• Review of scientific literature and publications on NOTES.
• Analysis of pioneering human and animal research in NOTES.

Main Results:

• Successful human NOTES procedures, including cholecystectomies and appendectomies, have been performed.
• Publication of randomized controlled trials and ongoing innovation in NOTES equipment and techniques.

Conclusions:

• Growing interest in NOTES has led to significant animal research and clinical trials.
• Successful preliminary human procedures pave the way for comparison with laparoscopic surgery.
• Demonstrating equivalence or superiority to laparoscopy is crucial for clinical adoption of NOTES.