Evidence-Based Current Surgical Practice
Current Evidence in Gastrointestinal Surgery: Natural Orifice Translumenal Endoscopic Surgery (NOTES)

https://doi.org/10.1007/s11605-013-2277-3Get rights and content

Abstract

Background

Natural orifice translumenal endoscopic surgery (NOTES) is a technique that uses transvisceral access to perform surgical procedures entirely through a natural orifice. Despite the increasing awareness of NOTES, there remain obstacles to its technical feasibility and widespread acceptance. Furthermore, with the paucity of high-level supporting evidence, NOTES currently remains an experimental technique.

Objective

This article reviews the goals, applications, technical and practical challenges, and future direction of NOTES in gastrointestinal surgery.

Keywords

Natural orifice translumenal endoscopic surgery (NOTES)
Minimally invasive surgery

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