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Updated: Mar 22, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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[Scarless surgery: a vision becoming reality?].

Sebastian H Lamm1, Andreas Zerz2, Daniel C Steinemann1

  • 11 Klinik für Chirurgie, Kantonsspital Baselland, Bruderholz.

Praxis
|April 15, 2016
PubMed
Summary
This summary is machine-generated.

Natural orifice transluminal endoscopic surgery (NOTES) offers scarless abdominal surgery by avoiding minilaparotomies. This minimally invasive approach demonstrates high feasibility and patient acceptance, particularly transvaginal access for cholecystectomy.

Keywords:
NOTESOperation über natürliche Körperöffnungenchirurgie endoscopique par voie naturelllechirurgie transrectalechirurgie transvaginalenatural orifice endoscopic surgerytransrectaltransrektaltransvaginal

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Endoscopic Procedures

Context:

  • Advancements in abdominal surgery focus on further minimizing access points.
  • Existing laparoscopic techniques still require small incisions for organ manipulation and connection.
  • Natural orifice transluminal endoscopic surgery (NOTES) aims to eliminate these incisions.

Purpose:

  • To evaluate the feasibility and benefits of Natural orifice transluminal endoscopic surgery (NOTES) in abdominal procedures.
  • To compare NOTES outcomes with conventional laparoscopic surgery regarding pain, recovery, and complications.
  • To explore different NOTES access routes for broader applicability.

Summary:

  • NOTES procedures, primarily using transvaginal access, have proven feasible for surgeries like cholecystectomy.
  • This approach results in reduced postoperative pain compared to standard four-port laparoscopy.
  • NOTES is associated with low rates of infection and incisional hernias, and does not negatively impact sexual well-being.
  • Transrectal access expands NOTES applicability to procedures like left-sided colonic resection for both genders.

Impact:

  • NOTES represents a significant step towards pure laparoscopic surgery, eliminating the need for accessory minilaparotomies.
  • The technique offers improved patient outcomes, including reduced morbidity and enhanced cosmesis.
  • NOTES broadens the scope of endoscopic surgery, potentially becoming a new standard for specific abdominal interventions.