scholarly journals Natural Orifice Transluminal Endoscopic Surgery using the GelPOINT® V-Path Transvaginal Access Platform: An Early Experience

2020 ◽  
Vol 36 (2) ◽  
pp. 142-145
Author(s):  
Hitomi Aoki ◽  
Takaki Ishizuka ◽  
Tomoko Sho ◽  
Daisuke Nakajima ◽  
Kazuaki Yoshimura
Keyword(s):  
Endoscopic Surgery ◽  
Early Experience ◽  
Natural Orifice ◽  
Transvaginal Access

Natural Orifice Transluminal Endoscopic Surgery: Long-Term Experience with Hybrid Transvaginal Cholecystectomies

2020 ◽  
pp. 155335062093240
Author(s):  
Fabian Rössler ◽  
Andreas Keerl ◽  
Uwe Bieri ◽  
Juliette Slieker ◽  
Antonio Nocito
Keyword(s):  
Endoscopic Surgery ◽  
Special Focus ◽  
Complication Rates ◽  
Natural Orifice ◽  
Comprehensive Complication Index ◽  
Transvaginal Cholecystectomy ◽  
Gynecological Examination ◽  
Transvaginal Access ◽  
Standard Laparoscopic Cholecystectomy ◽  
Hybrid Notes

Objective. To assess outcome and safety of 571 hybrid natural orifice transluminal endoscopic surgery (NOTES) cholecystectomies. Methods. We retrospectively analyzed all consecutive NOTES cholecystectomies performed at our center between June 2009 and January 2018. All procedures were performed using a hybrid transvaginal technique, including an umbilical small-size trocar. End points, calculated at discharge, 30 and up to 90 days postoperatively, included intra- and postoperative morbidity assessed by the validated Clavien–Dindo classification and the Comprehensive Complication Index (CCI). Special focus was held on outcome and necessity of pre- and postoperative gynecological examinations. Results. We performed 571 hybrid NOTES cholecystectomies within 9 years. The vast majority were elective, 9.6% were emergency cholecystectomies. 6.7% of patients developed at least one complication until discharge, most of them minor (≤grade II). 30- and 90-day complication rates were 10.7% and 11%, respectively. Mean CCI at discharge and postoperative days 30 and 90 was 1.45 (±6.4), 2.3 (±7.7), and 2.4 (±7.8), respectively. Major complications (≥grade IIIa) occurred in 1.6% of patients, and 4 patients required emergency reoperation. No mortality was observed. In 9.8%, an additional abdominal trocar was placed. All patients underwent routine gynecological examination, whereof only 5 were rejected for transvaginal access preoperatively. In no case transvaginal access was discontinued intraoperatively due to gynecological disease. Conclusion. Hybrid NOTES transvaginal cholecystectomy represents a safe and feasible alternative to standard laparoscopic cholecystectomy. Preoperative gynecological examination is no longer routinely necessary, as intraoperative assessment is adequate.

Partial gastrectomy using natural orifice translumenal endoscopic surgery (NOTES) for gastric submucosal tumors: early experience in humans

2009 ◽  
Vol 23 (12) ◽  
pp. 2650-2655 ◽  
Author(s):  
Kiyokazu Nakajima ◽  
Toshirou Nishida ◽  
Tsuyoshi Takahashi ◽  
Yoshihito Souma ◽  
Johji Hara ◽  
...  
Keyword(s):  
Endoscopic Surgery ◽  
Partial Gastrectomy ◽  
Early Experience ◽  
Natural Orifice ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors

scholarly journals Natural Orifice Translumenal Endoscopic Surgery for Anterior Spinal Procedures

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Priscilla Magno ◽  
Mouen A. Khashab ◽  
Manuel Mas ◽  
Samuel A. Giday ◽  
Jonathan M. Buscaglia ◽  
...  
Keyword(s):  
Thoracic Spine ◽  
Endoscopic Surgery ◽  
Vertebral Column ◽  
Bone Biopsy ◽  
Posterior Mediastinum ◽  
Direct Access ◽  
Thoracic Vertebrae ◽  
Natural Orifice ◽  
Vertebral Bone ◽  
Vertebral Bodies

Background. NOTES techniques allow transesophageal access to the mediastinum. The aim of this study was to assess the feasibility of transesophageal biopsy of thoracic vertebrae.Methods. Nonsurvival experiments on four 50-kg porcine animals were performed. Transesophageal access to the mediastinum was attained using submucosal tunneling technique.Results. The posterior mediastinum was successfully accessed and navigated in all animals. Vertebral bodies and intervertebral spaces were easily approached while avoiding damage to adjacent vessels. Bone biopsy was successfully performed without complications, but the hardness of bone tissue resulted in small and fragmented samples.Conclusions. Peroral transesophageal access into the posterior mediastinum and thoracic vertebral bone biopsy was feasible and safe. The proximity of the esophagus to the vertebral column provides close and direct access to the thoracic spine and opens up new ground for the performance of multilevel anterior spine procedures using NOTES techniques.

Transluminal Closure for Natural Orifice Transluminal Endoscopic Surgery (NOTES): An Ex Vivo Study Comparing Leak Pressures

2007 ◽  
Vol 65 (5) ◽  
pp. AB293
Author(s):  
Marvin Ryou ◽  
Reina D. Pai ◽  
Derek G. Fong ◽  
Christopher C. Thompson
Keyword(s):  
Endoscopic Surgery ◽  
Ex Vivo ◽  
Natural Orifice ◽  
Ex Vivo Study

The detachable balloon: A novel device for safe trans-rectal natural orifice transluminal endoscopic surgery

2021 ◽  
Author(s):  
Li-Xia Zhao ◽  
Zhen-Zhen Liu ◽  
Saif Ullah ◽  
Dan Liu ◽  
Hui-Yu Yang ◽  
...  
Keyword(s):  
Endoscopic Surgery ◽  
Natural Orifice ◽  
Detachable Balloon ◽  
Novel Device
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