Natural orifice transluminal endoscopy surgery: A review

Area of Science:

• Surgical Innovation
• Gastroenterology
• Minimally Invasive Surgery

Background:

• Minimally invasive surgery, including laparoscopic cholecystectomy, gained traction globally starting in 1987.
• Advancements in endoscopic technology enabled gastroenterologists to perform increasingly complex endoluminal interventions.
• The development of transgastric peritoneoscopy in 2004 introduced the concept of Natural Orifice Transluminal Endoscopic Surgery (NOTES).

Purpose of the Study:

• To review the evolution and progress of Natural Orifice Transluminal Endoscopic Surgery (NOTES).
• To consolidate findings from both preclinical animal studies and initial human experiences with NOTES.
• To highlight the potential of NOTES as a novel approach to incisionless surgical procedures.

Main Methods:

• Comprehensive literature review of developments in NOTES.
• Analysis of published animal studies investigating NOTES feasibility and safety.
• Examination of case reports and series detailing human application of NOTES procedures.

Main Results:

• The concept of NOTES has driven significant innovation in endoscopic surgery since its inception.
• Animal studies have demonstrated the technical feasibility of various NOTES procedures.
• Early human experiences indicate the potential for NOTES in specific clinical scenarios.

Conclusions:

• NOTES represents a paradigm shift towards incisionless surgery, building upon minimally invasive techniques.
• Continued research and development are crucial for refining NOTES procedures and expanding their clinical utility.
• The field is progressing towards making the attractive goal of incisionless surgery a reality.