BACKGROUND: Laparoscopic approach has made many procedures less invasive; however, it seems like this is not enough. The newest challenge for the medical environment is applying the scarless surgery in humans. In this article, we review the origin, current state of art, and future of natural orifice transluminal endoscopic surgery (NOTES). The registered base of research in humans is yet scarce; however, the porcine model experimental studies hold a great promise. In NOTES, peritoneal cavity can be easily achieved, and some procedures are feasible through the natural orifices like digestive tract, vagina, or urinary bladder. If safety and advantages of these approaches will be proven beyond question, NOTES procedures are likely to be adapted in humans after overcoming the critical obstacles, like reliable closure methods, indispensable equipment invention, the multidisciplinary specialists training, etc. The aim of this article was to review available literature to provide current state of art in NOTES surgery. MATERIALS AND METHODS: Medical databases were searched for animal and human experience with NOTES to give an overview of history, current state of art, and future of this technique. RESULTS: NOTES is currently the subject of the intensive research. It seems like this is only the matter of time when a transluminal access to the abdominal or even thoracic cavity will become the reality. Moreover, this will enable the management of some diseases in a possibly minimally invasive pattern, nearly painless and leaving no scar at all.
BACKGROUND: Laparoscopic approach has made many procedures less invasive; however, it seems like this is not enough. The newest challenge for the medical environment is applying the scarless surgery in humans. In this article, we review the origin, current state of art, and future of natural orifice transluminal endoscopic surgery (NOTES). The registered base of research in humans is yet scarce; however, the porcine model experimental studies hold a great promise. In NOTES, peritoneal cavity can be easily achieved, and some procedures are feasible through the natural orifices like digestive tract, vagina, or urinary bladder. If safety and advantages of these approaches will be proven beyond question, NOTES procedures are likely to be adapted in humans after overcoming the critical obstacles, like reliable closure methods, indispensable equipment invention, the multidisciplinary specialists training, etc. The aim of this article was to review available literature to provide current state of art in NOTES surgery. MATERIALS AND METHODS: Medical databases were searched for animal and human experience with NOTES to give an overview of history, current state of art, and future of this technique. RESULTS: NOTES is currently the subject of the intensive research. It seems like this is only the matter of time when a transluminal access to the abdominal or even thoracic cavity will become the reality. Moreover, this will enable the management of some diseases in a possibly minimally invasive pattern, nearly painless and leaving no scar at all.
Authors: S V Kantsevoy; B Hu; S B Jagannath; C A Vaughn; D M Beitler; S S C Chung; P B Cotton; C J Gostout; R H Hawes; P J Pasricha; C A Magee; L J Pipitone; M A Talamini; A N Kalloo Journal: Surg Endosc Date: 2006-01-21 Impact factor: 4.584
Authors: Estêvão Lima; Tiago Henriques-Coelho; Carla Rolanda; José M Pêgo; David Silva; José L Carvalho; Jorge Correia-Pinto Journal: Surg Endosc Date: 2007-05-04 Impact factor: 4.584
Authors: Jeffrey W Hazey; Vimal K Narula; David B Renton; Kevin M Reavis; Christopher M Paul; Kristen E Hinshaw; Peter Muscarella; E Christopher Ellison; W Scott Melvin Journal: Surg Endosc Date: 2007-08-14 Impact factor: 4.584
Authors: Raymond P Onders; Michael F McGee; Jeffrey Marks; Amitabh Chak; Michael J Rosen; Anthony Ignagni; Ashley Faulx; Steve Schomisch; Jeffrey Ponsky Journal: Surg Endosc Date: 2007-02-16 Impact factor: 4.584
Authors: Elizabeth C Burton; Russell S Phillips; Kenneth E Covinsky; Laura P Sands; Lee Goldman; Neal V Dawson; Alfred F Connors; C Seth Landefeld Journal: Am J Med Date: 2004-08-15 Impact factor: 4.965