Leading article
Natural orifices transluminal endoscopic surgery: Current development and future implications
Philip Wai-Yan Chiu,
Philip Wai-Yan Chiu
Department of Surgery, Institute of Digestive Disease, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
Search for more papers by this authorPhilip Wai-Yan Chiu,
Philip Wai-Yan Chiu
Department of Surgery, Institute of Digestive Disease, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
Search for more papers by this authorFirst published: 21 July 2010
Email: [email protected]
Abstract
The concept of natural orifices transluminal endoscopic surgery (NOTES) started in 2000 when transgastric peritoneoscopy was experimental. Although numerous surgical procedures had been performed successfully in animal models, the application of NOTES in humans was limited. The main obstacles to the performance of NOTES in humans included the security of closing the gastrointestinal (GI) access site, the lack of a stable multi-tasking platform and prospective clinical studies. The present article reviews the current developments in the field of NOTES with special focus on developments in the closure of GI access, a multi-tasking platform and the potential future applications of NOTES.
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