Natural orifice transluminal endoscopic surgery (NOTES)

Introduction

The development and evaluation of the concept of natural orifice transluminal endoscopic surgery (NOTES) continues to arouse the interest of the medical scientific community, with a large number of abstracts being presented at this DDW 2009 session. Although the 2008 meeting saw a record number of submissions compared with the previous year, 2009 showed a slight decline. A search focusing on the word ”NOTES” came up with 85 abstracts, among which 60 (including 7 videos) had transluminal surgery as their actual subject.

In comparison with 2008 (Fig. 1), there is a noteworthy decrease in abstracts related to ”access and closure,” and only one presentation on training. It is noticeable that there is, surprisingly, only a slight increase in presentations on human application of NOTES.

References
Key references

• 1 Willingham F F, Gee D W, Turner B G. et al . The leaks & endoscopic assessment of break of integrity after a NOTES® gastrotomy (LEAKING) study, a prospective randomized controlled trial: initial results.  Gastrointest Endosc. 2009;  69 AB303
• 2 Von Renteln D, Schmidt A R, Rudolph H U. et al . Endoscopic closure of the transgastric NOTES® Access by means of an over the scope clip system (OTSC). a randomized controlled porcine study.  Gastrointest Endosc. 2009;  69 AB165
• 3 Voermans R P, Van Berge H enegouwen, Bemelman W, Fockens P. Systematic evaluation of the over-the-scope-clip (OTSC) for NOTES® gastric closure.  Gastrointest Endosc. 2009;  69 AB164
• 4 Perez-Miranda M, González-Huix F, Goyeneche M. et al . Overclips as the best-performing second generation flexible endoscopic NOTES®-closure technique in a multioperator two-phase porcine study.  Gastrointest Endosc. 2009;  69 AB163
• 5 Trunzo J A, Schomisch S J, Mishra T. et al . The validity of bursting pressure as an objective measure in natural orifice translumenal endoscopic surgery (NOTES)® closure testing.  Gastrointest Endosc. 2009;  69 AB169
• 6 Becker V, Von Delius S, Voermans R P. et al . Puncture-needle guided in vivo histology of intra-abdominal organs using probe-based confocal laser endomicroscopy (pCLE) in a porcine model.  Gastrointest Endosc. 2009;  69 AB166
• 7 Von Delius S, Becker V, Sager J. et al . Feasibility of sentinel lymph node mapping with confocal laser scanning microscopy via NOTES® peritoneoscopy.  Gastrointest Endosc. 2009;  69 AB376
• 8 Voermans R P, Faigel D, van Berge Henegouwen M I. et al . W1076 Transcolonic NOTES peritoneoscopy for the detection of peritoneal metastases.  Gastroenterology. 2009;  136 A-648
• 9 Vassiliou M C, McKenna D T, Kaneva P A. et al . Development of an assessment tool to measure technical skills for NOTES®.  Gastrointest Endosc. 2009;  69 AB306
• 10 Eickhoff A, Vetter S, VonRenteln D. et al . Effectivity of current sterility methods for transgastric access NOTES® procedures: results of a randomized porcine study.  Gastrointest Endosc. 2009;  69 AB169
• 11 Dubcenco E, Assumpcao L R, Gabrielson K. et al . Postoperative adhesion formation after peritoneoscopy with liver biopsy in a survival porcine model: laparotomic vs laparoscopic vs NOTES® transgastric approach.  Gastrointest Endosc. 2009;  69 AB161
• 12 Moran E A, Hanes M, Huebner M. et al . Comparing peritoneal inflammation for NOTES® and laparoscopy in randomized studies.  Gastrointest Endosc. 2009;  69 AB305
• 13 Freeman L, Rahmani E Y, Al-Haddad M A. et al . Comparison of pain and postoperative stress in dogs undergoing natural orifice translumenal endoscopic surgery (NOTES)®, laparoscopic, or open bilateral oophorectomy.  Gastrointest Endosc. 2009;  69 AB161-AB162
• 14 Park P-O, Bergström M. Human NOTES® – transgastric diagnostic peritoneoscopy and appendectomy.  Gastrointest Endosc. 2009;  69 AB166
• 15 Awad M M, Denk P M, Kennedy T J. et al . NOTES® Transgastric cholecystectomy: outcomes at one-year.  Gastrointest Endosc. 2009;  69 AB165-AB166
• 16 Laudanno O M, Horgan S, Paleari J. et al . Transvaginal NOTES® cholecystectomy: postoperative gynecological evaluation.  Gastrointest Endosc. 2009;  69 AB161
• 17 Bernhardt J, Schneider-Koriath S, Steffen H. et al . Quality of life after appendectomy: a prospective pilot study comparing outcome after flexible NOTES® appendectomy in hybrid technique and laparoscopic appendectomy.  Gastrointest Endosc. 2009;  69 AB164
• 18 Park P-O, Bergström M, Azadani A. et al . The development and testing of an adaptable minimally-invasive surgical platform – the Hydra.  Gastrointest Endosc. 2009;  69 AB162-AB163
• 19 Ho K Y, Phee L S, Lomanto D. et al . Natural orifice trangastric endoscopic segmental hepatectomy using a through-the-scope intuitively controlled robotics-enhanced manipulator system.  Gastrointest Endosc. 2009;  69 AB162
• 20 Castellvi A O, Tang S J, Hogg D C. et al . Hybrid transgastric NOTES® cholecystectomy in a porcine model using a magnetically anchored cautery and novel instrumentation.  Gastrointest Endosc. 2009;  69 AB304